MICHAEL L STANCHINA MD
NPI 1518989367
Internal Medicine - Pulmonary Disease in East Greenwich, RI

Q: What is Michael Stanchina's NPI number?

The NPI number for Michael Stanchina is 1518989367. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Q: What is Michael Stanchina's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Michael Stanchina was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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 July 24, 2006PECOS EnrolledAccepts Medicare Assignment

1407 S COUNTY TRL, EAST GREENWICH, RI 02818(401) 886-7910(401) 886-7913 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 3, 2026, Jul 2, 2025, Feb 8, 2021 and 1 more (4 updates tracked since 2019).

On this page

About Michael L Stanchina Md NPPES

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

MICHAEL L STANCHINA MD (NPI 1518989367) is an individual pulmonary disease provider in East Greenwich, Rhode Island, licensed in Rhode Island (MD10911) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1518989367

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameMICHAEL L STANCHINACredential: MD

Location Address1407 S COUNTY TRLEast Greenwich, RI 02818-1620

Mailing Address455 Toll Gate RdWarwick, RI 02886-2759 · (401) 273-0641 · Fax (401) 273-2919

Phone(401) 886-7910

Fax(401) 886-7913

Sole ProprietorYes

Medical School CMSWest Virginia University School Of MedicineGraduated 1994

Enumeration DateJuly 24, 2006

Last NPPES UpdateJune 3, 20264 updates tracked since enumeration

NPPES CertifiedJune 3, 2026

✔ NPI 1518989367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in RI · MD10911✔ Licensed in MA · 154510

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 154510 (MA)

Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 154510 (MA)

1407 S COUNTY TRL, East Greenwich, RI 02818

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Secondary Practice Locations 4

Location 11768 Business Center Dr Ste 100Reston, VA 20190-5359 · Phone (800) 762-9244 · Fax (786) 672-6006

Location 21405 S County Trl Ste 3AEast Greenwich, RI 02818-5081 · Phone (401) 886-7319 · Fax (401) 886-7913

Location 3455 Toll Gate RdWarwick, RI 02886-2759 · Phone (401) 737-7010 · Fax (401) 736-4546

Location 475 Francis StBoston, MA 02115-6106 · Phone (617) 732-5500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael L Stanchina Md 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 ID1557345188

PECOS Enrollment IDI20040614000359, I20091123000299, I20250307003078, I20250307003149, I20250310003228, I20250320002085, I20250403001307, I20250814004980, I20260330001726

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.

Medicare Billing Reassignments

Medicare enrollment records show Michael Stanchina reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Affinity Physicians LLC.

3.5 mi

Internal Medicine

455 TOLL GATE RD
Warwick, RI 02886

Reassigned Medicare billing, Rhode Island enrollment
984 clinicians in this Medicare group

NPI 1184944662 (401) 737-7010

Prospect Chartercare Rwmc, LLC

13 mi

Internal Medicine

825 CHALKSTONE AVE
Providence, RI 02908

Reassigned Medicare billing, Rhode Island enrollment
162 clinicians in this Medicare group

NPI 1285059287 (401) 456-2000

Brigham & Womens Physicians Organization Inc

51 mi

Internal Medicine

75 FRANCIS ST
Boston, MA 02115

Reassigned Medicare billing, Massachusetts enrollment
4,574 clinicians in this Medicare group

NPI 1033535497 (617) 732-5500

Mount Auburn Professional Services Inc

53 mi

Internal Medicine

330 MOUNT AUBURN ST
Cambridge, MA 02138

Reassigned Medicare billing, Massachusetts enrollment
423 clinicians in this Medicare group

NPI 1992750996 (617) 499-5654

Upson Medical Associates LLC

929 mi

Anesthesiology

801 W GORDON ST
Thomaston, GA 30286

Reassigned Medicare billing, Rhode Island enrollment

NPI 1871575993 (706) 647-8111

Crestwood Healthcare LP

949 mi

General Acute Care Hospital

1 HOSPITAL DR SW
Huntsville, AL 35801

Reassigned Medicare billing, Alabama, Arkansas, District of Columbia, Florida, Georgia, Indiana, Kentucky, Maryland, Maine, Missouri, Montana, North Carolina, New Mexico, New York, Oklahoma, Rhode Island, South Carolina, Texas and Virginia enrollments
Medicare enrollment name: Access Telecare PLLC
Also billed through NPI 1013303080 (Virginia)
149 clinicians in this Medicare group

NPI 1023061496 (256) 882-3100

Ap Us 14, PA

1,516 mi

Internal Medicine

1717 MAIN ST STE 5850
Dallas, TX 75201

Reassigned Medicare billing, Kansas enrollment
82 clinicians in this Medicare group

NPI 1902415904 (972) 449-0540

Shannon Clinic

1,709 mi

Rural Health

201 E ARIZONA AVE
Sweetwater, TX 79556

Reassigned Medicare billing, Texas enrollment
671 clinicians in this Medicare group

NPI 1093051401 (325) 235-8641

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

575 services397 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

280 services261 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

227 services85 patients

Sleep study including heart rate, breathing, airflow, and effort 95806

A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.

100 services99 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

80 services75 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

45 services45 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

33 services33 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

33 services33 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

32 services32 patients

Sleep study in sleep lab (6 years or older) 95810

A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.

29 services29 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.

25 services24 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

19 services18 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Rhode Island Hospital

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipTribal

CMS Certification Number410007

Location593 Eddy StreetProvidence, RI 02903 · Providence County

Emergency services

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

Women & Infants Hospital Of Rhode Island

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410010

Location101 Dudley StreetProvidence, RI 02905 · Providence County

Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02818 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.

Referred Medical Equipment & Supplies CMS DME claims 21

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604