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

SILVIA G PENA MD
NPI 1578201604
Internal Medicine in East Greenwich, RI

Active since May 27, 2022PECOS EnrolledAccepts Medicare Assignment
1351 S COUNTY TRL STE 302, EAST GREENWICH, RI 02818(401) 471-6406(401) 519-3175 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 28, 2026, Nov 18, 2025, Nov 13, 2025 and 1 more (4 updates tracked since 2022).

About Silvia G Pena Md NPPES

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

SILVIA G PENA MD (NPI 1578201604) is an individual internal medicine provider in East Greenwich, Rhode Island, licensed in Rhode Island (MD20998) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with Our Lady Of Fatima Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1578201604
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSILVIA G PENACredential: MD
Location Address1351 S COUNTY TRL STE 302East Greenwich, RI 02818-5083
Mailing Address110 Mayflower DrCranston, RI 02905-1043 · (347) 656-5926
Phone(401) 471-6406
Fax(401) 519-3175
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 27, 2022
Last NPPES UpdateSeptember 28, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2026
✔ NPI 1578201604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in RI · MD20998
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1351 S COUNTY TRL STE 302, East Greenwich, RI 02818
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Secondary Practice Locations 2

Location 150 Maude StProvidence, RI 02908-4325 · Phone (401) 456-2145 · Fax (401) 456-6772
Location 2520 Elmwood AveProvidence, RI 02907-1701 · Phone (401) 386-4343 · Fax (401) 386-4355

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

Silvia G Pena 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 ID6103291729
PECOS Enrollment IDI20251209001486
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

2

Medicare enrollment records show Silvia Pena reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chartercare Physicians, LLC
8.8 mi
Internal Medicine
1681 CRANSTON ST
Cranston, RI 02920
  • Reassigned Medicare billing, Rhode Island enrollment
  • 65 clinicians in this Medicare group
NPI 1235945650 (401) 944-6889
Prospect Chartercare Physicians, LLC
8.8 mi
Internal Medicine
1681 CRANSTON ST
Cranston, RI 02920
  • Reassigned Medicare billing, Rhode Island enrollment
  • 146 clinicians in this Medicare group
NPI 1629493135 (401) 944-6889

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

Hospital Affiliations CMS Care Compare

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

Our Lady Of Fatima Hospital

Acute Care Hospitals · North Providence, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410005
Location200 High Service AvenueNorth Providence, RI 02904 · 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.

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 Silvia Pena's NPI number?

The NPI number for Silvia Pena is 1578201604. It was assigned to this individual provider in the NPPES registry on May 27, 2022.

Where is Silvia Pena located?

Silvia Pena practices at 1351 S County Trl Ste 302, East Greenwich, RI 02818. The listed phone number is (401) 471-6406.

What is Silvia Pena's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Silvia Pena enrolled in Medicare?

Yes. Silvia Pena is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Silvia Pena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Silvia Pena reassigns Medicare benefits to 2 organizations: Chartercare Physicians, LLC (Cranston, RI) and Prospect Chartercare Physicians, LLC (Cranston, RI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Silvia Pena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Silvia Pena affiliated with any hospitals?

According to CMS data, Silvia Pena is affiliated with Our Lady Of Fatima Hospital.

When was this NPI record last updated?

The NPPES record for Silvia Pena was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 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.