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JEFFREY WISHIK MD
NPI 1447305636
Psychiatry & Neurology - Neurology in Providence, RI

Active since January 25, 2007Opted out of Medicare · through Jan 1, 2028
1 RANDALL SQ, SUITE 409, PROVIDENCE, RI 02904(401) 274-5150(401) 274-5130 Get Directions Write a Review

NPPES record last updated: November 28, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeffrey Wishik Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY WISHIK MD (NPI 1447305636) is an individual neurology provider in Providence, Rhode Island, licensed in Rhode Island (MD07160) and active in the NPI registry since January 2007. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1447305636
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameJEFFREY WISHIKCredential: MD
Location Address1 RANDALL SQ, SUITE 409Providence, RI 02904-2709
Mailing Address1 Randall Sq, Suite 409Providence, RI 02904-2709 · (401) 274-5150 · Fax (401) 274-5130
Phone(401) 274-5150
Fax(401) 274-5130
Sole ProprietorYes
Enumeration DateJanuary 25, 2007
Last NPPES UpdateNovember 28, 2007
✔ NPI 1447305636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in RI · MD07160
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License MD07160 (RI)
1 RANDALL SQ, Providence, RI 02904
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Other Identifiers 2

Medicare UPIND18158
Medicaid9000115RI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jeffrey Wishik Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHINA A MAYU NP
Nurse Practitioner (Adult Health)
1 RANDALL SQ
PROVIDENCE, RI 02904
Providence County (401) 274-6339
MAYELIN PACHECO NUNEZ NP
Nurse Practitioner (Family)
1 RANDALL SQ
PROVIDENCE, RI 02904
Providence County (401) 274-6339
STANLEY H. BLOCK MD
Allergy & Immunology
1 RANDALL SQ
PROVIDENCE, RI 02904
Providence County (401) 444-0414
DR. JAMES J YASHAR M.D
Specialist
1 RANDALL SQ
PROVIDENCE, RI 02904
Providence County (140) 196-5777
THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1 RANDALL SQ
PROVIDENCE, RI 02904
Providence County (401) 274-6339
PAUL W WEHBE MD
Pediatrics
1 RANDALL SQ, SUITE 404-406
PROVIDENCE, RI 02904
Providence County (401) 861-5183
CARDIOLOGY CONSULTANTS, LLC
Internal Medicine (Cardiovascular Disease)
1 RANDALL SQ, SUITE 305
PROVIDENCE, RI 02904
Providence County (401) 223-0223
COURTNEY HUNT NP
Nurse Practitioner (Family)
1 RANDALL SQ
PROVIDENCE, RI 02904
Providence County (401) 274-6339

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Wishik's NPI number?

The NPI number for Jeffrey Wishik is 1447305636. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Jeffrey Wishik located?

Jeffrey Wishik practices at 1 Randall Sq Suite 409, Providence, RI 02904. The listed phone number is (401) 274-5150.

What is Jeffrey Wishik's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Jeffrey Wishik enrolled in Medicare?

No. Jeffrey Wishik has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jeffrey Wishik was last updated on November 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.