Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. DOUGLAS BRUCE GENEREUX PA-C
NPI 1518049469
Physician Assistant in Wakefield, RI

Q: What is Douglas Genereux's NPI number?

The NPI number for Douglas Genereux is 1518049469. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Q: What is Douglas Genereux's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Genereux was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.

Active since October 19, 2006PECOS Enrolled

70 KENYON AVE STE 280, WAKEFIELD, RI 02879(401) 284-1212(401) 788-8730 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2026, Jan 12, 2026 (2 updates tracked since 2026).

On this page

About Mr. Douglas Bruce Genereux Pa-c NPPES

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

MR. DOUGLAS BRUCE GENEREUX PA-C (NPI 1518049469) is an individual physician assistant in Wakefield, Rhode Island, licensed in Rhode Island (PA00199) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with South County Hospital Inc, and maintains 10 additional practice locations.

NPPES Registry Identity

NPI1518049469

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. DOUGLAS BRUCE GENEREUXCredential: PA-C

Location Address70 KENYON AVE STE 280Wakefield, RI 02879-4253

Mailing AddressPo Box 229Wakefield, RI 02880-0229 · (401) 788-3929 · Fax (401) 788-3939

Phone(401) 284-1212

Fax(401) 788-8730

Sole ProprietorYes

Medical School CMSOtherGraduated 1998

Enumeration DateOctober 19, 2006

Last NPPES UpdateJuly 20, 20262 updates tracked since enumeration

NPPES CertifiedJuly 20, 2026

✔ NPI 1518049469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in RI · PA00199

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA00199 (RI)

70 KENYON AVE STE 280, Wakefield, RI 02879

Open in Google Maps ↗

Secondary Practice Locations 10

Location 170 Kenyon Ave Ste L10Wakefield, RI 02879-4253 · Phone (401) 788-1638 · Fax (401) 782-9892

Location 2120 Centerville Rd Ste 3Warwick, RI 02886-4336 · Phone (401) 788-8780 · Fax (401) 788-8787

Location 3164 Summit Ave, C70Providence, RI 02906-2853 · Phone (401) 793-3922 · Fax (401) 793-7866

Location 4268 Post Rd Ste 204Westerly, RI 02891-6601 · Phone (401) 284-1212 · Fax (401) 789-1358

Location 5227 Centerville Road, Suite 2Warwick, RI 02886 · Phone (401) 736-3731 · Fax (401) 732-8484

Location 638 Powel AveNewport, RI 02840-2655 · Phone (401) 788-8780 · Fax (401) 788-8787

Location 7101 Dudley StProvidence, RI 02905-2401 · Phone (401) 274-1122 · Fax (401) 453-7666

Location 83461 S County Trl Ste 201East Greenwich, RI 02818-1463 · Phone (401) 284-1212 · Fax (401) 789-1358

Location 970 Kenyon Ave Ste 210Wakefield, RI 02879-4253 · Phone (401) 788-8780 · Fax (401) 788-8787

Location 10455 Toll Gate RdWarwick, RI 02886-2759 · Phone (401) 737-7010 · Fax (401) 738-0013

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Douglas Bruce Genereux Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810067329

PECOS Enrollment IDI20080610000006

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

South County Hospital Inc

Acute Care Hospitals · Wakefield, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410008

Location100 Kenyon AveWakefield, RI 02879 · Washington County

Emergency services Birthing friendly

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI

3/5 CMS rating

OwnershipProprietary

CMS Certification Number410009

Location455 Toll Gate RdWarwick, RI 02886 · Kent County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02879 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

Most-billed visit code 99213

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 7

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

THEODORE R DELMONICO M.D.

Surgery (Trauma Surgery)