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THERESA SEPULVEDA
NPI 1538691969
Internal Medicine - Infectious Disease in Providence, RI

Active since April 03, 2017PECOS Enrolled
830 CHALKSTONE AVE, PROVIDENCE, RI 02908(401) 273-7100 Get Directions Write a Review

NPPES record last updated: March 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 14, 2026, Jul 2, 2024, May 17, 2024 and 1 more (4 updates tracked since 2021).

About Theresa Sepulveda NPPES

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

THERESA SEPULVEDA (NPI 1538691969) is an individual infectious disease provider in Providence, Rhode Island, licensed in Texas (T0343) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538691969
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameTHERESA SEPULVEDA
Location Address830 CHALKSTONE AVEProvidence, RI 02908-4734
Mailing Address830 Chalkstone AveProvidence, RI 02908-4734
Phone(401) 273-7100
Sole ProprietorYes
Enumeration DateApril 3, 2017
Last NPPES UpdateMarch 14, 20264 updates tracked since enumeration
NPPES CertifiedMarch 14, 2026
✔ NPI 1538691969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in TX · T0343
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License T0343 (TX)
830 CHALKSTONE AVE, Providence, RI 02908
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa Sepulveda is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02908 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.

ELIZABETH SEVIN
Social Worker (Clinical)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 723-7100
TONI MARIE ACAMPORA LICSW
Social Worker (Clinical)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 273-7100
ELIZABETH MOORE MEDBURY APRN
Nurse Practitioner (Acute Care)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 273-7011
ROOSEVELT MALDONADO
Social Worker (Clinical)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 273-7100
LILY ANN CURRERI RDN
Dietitian, Registered
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 273-7100
MS. HELEN MARY SULLIVAN R.N.
Registered Nurse
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 273-7100
MS. RENEE COLETTE WATSON LICSW
Social Worker (Clinical)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 273-7100
DOUGLAS L TOWNSEND RN
Registered Nurse (Psychiatric/Mental Health)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 273-7100

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 Theresa Sepulveda's NPI number?

The NPI number for Theresa Sepulveda is 1538691969. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Theresa Sepulveda located?

Theresa Sepulveda practices at 830 Chalkstone Ave, Providence, RI 02908. The listed phone number is (401) 273-7100.

What is Theresa Sepulveda's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Theresa Sepulveda enrolled in Medicare?

Yes. Theresa Sepulveda is registered in the Medicare PECOS enrollment system.

What insurance does Theresa Sepulveda accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and Molina Healthcare list Theresa Sepulveda as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theresa Sepulveda was last updated on March 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.