OUR LADY OF FATIMA HOSPITAL
NPI 1588089759
Internal Medicine in North Providence, RI

Q: What is Prospect Chartercare Sjhsri, LLC's NPI number?

The NPI number for Prospect Chartercare Sjhsri, LLC is 1588089759. It was assigned to this organization in the NPPES registry on February 25, 2014. The provider is doing business as Our Lady Of Fatima Hospital.

Q: What is Prospect Chartercare Sjhsri, LLC's specialty?

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

Active since February 25, 2014

200 HIGH SERVICE AVE, NORTH PROVIDENCE, RI 02904(401) 456-3000(401) 456-3028 Get Directions Write a Review

NPPES record last updated: December 21, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Our Lady Of Fatima Hospital NPPES

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

OUR LADY OF FATIMA HOSPITAL (NPI 1588089759) is a healthcare organization registered as an internal medicine in North Providence, Rhode Island and active in the NPI registry since February 2014. The organization lists Robert Jon Elders, Secretary, as its authorized official.

NPPES Registry Identity

NPI1588089759

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NamePROSPECT CHARTERCARE SJHSRI, LLC

Location Address200 HIGH SERVICE AVENorth Providence, RI 02904-5113

Mailing Address200 High Service AveNorth Providence, RI 02904-5113 · (401) 456-3000 · Fax (401) 456-3028

Phone(401) 456-3000

Fax(401) 456-3028

Organization SubpartNo

Authorized OfficialRobert Jon EldersSecretary · (714) 788-1249

Enumeration DateFebruary 25, 2014

Last NPPES UpdateDecember 21, 2020

NPPES CertifiedDecember 21, 2020

✔ NPI 1588089759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

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.

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedDermatologyTaxonomy 207N00000X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

Also ListedNeurological SurgeryTaxonomy 207T00000X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPreventive Medicine · Undersea and Hyperbaric MedicineTaxonomy 2083P0011X

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedSurgeryTaxonomy 208600000X

Also ListedPodiatristTaxonomy 213E00000X

Also ListedRehabilitation PractitionerTaxonomy 225400000X

Also ListedPublic Health or WelfareTaxonomy 251K00000X

200 HIGH SERVICE AVE, North Providence, RI 02904

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Other Names 1

Doing Business AsOur Lady Of Fatima Hospital

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Our Lady Of Fatima Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

110

Medicare enrollment records show 110 clinicians reassign Medicare billing to Our Lady Of Fatima Hospital, which bills Medicare for the services they deliver. Of these, 73 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 19

Clinical Social Worker36

Nurse Practitioner22

Psychiatry17

Internal Medicine5

Obstetrics/Gynecology5

Mental Health Counselor4

Certified Clinical Nurse Specialist (CNS)3

Podiatry3

11 other specialties15

Nearest to this location (20)

See all 110

Kendra Apici, LICSW

Clinical Social Worker

NPI 1306368881

200 HIGH SERVICE AVE
North Providence, RI 02904

(401) 456-3034

✔ PECOS✔ Accepts Medicare0.1 mi

Jason Franklin, LCSW

Clinical Social Worker

NPI 1639941263

200 HIGH SERVICE AVE
North Providence, RI 02904

(401) 456-3034

✔ PECOS✔ Accepts Medicare0.1 mi

Elkins Guzman

Psychiatry

NPI 1679952451

200 HIGH SERVICE AVE
N Providence, RI 02904

(401) 456-3000

✔ PECOS✔ Accepts Medicare0.1 mi

Sharniece Hart

Clinical Social Worker

NPI 1326908385

200 HIGH SERVICE AVE
North Providence, RI 02904

(401) 456-3000

✔ PECOS0.1 mi

Andrew Kociubuk, APNP

Nurse Practitioner

NPI 1386241867

200 HIGH SERVICE AVE
North Providence, RI 02904

(401) 456-2000

✔ PECOS✔ Accepts Medicare0.1 mi

Robert Macdonald, LCSW

Clinical Social Worker

NPI 1710532817

200 HIGH SERVICE AVE
North Providence, RI 02904

(401) 456-3034

✔ PECOS✔ Accepts Medicare0.1 mi

Rodrigo Nardi, M.D.

Psychiatry

NPI 1679837876

200 HIGH SERVICE AVE
North Providence, RI 02904

(401) 456-3000

✔ PECOS✔ Accepts Medicare0.1 mi

Ainsley Parker, LCSW

Clinical Social Worker

NPI 1366913873

200 HIGH SERVICE AVE
North Providence, RI 02904

(401) 456-3805

✔ PECOS0.1 mi

Robinson Pierre-Louis

Nurse Practitioner

NPI 1649856022

200 HIGH SERVICE AVE
N Providence, RI 02904

(401) 564-3034

✔ PECOS✔ Accepts Medicare0.1 mi

Peter Small, MD

Family Practice

NPI 1972557346

200 HIGH SERVICE AVENUE ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND
North Providence, RI 02904

(401) 490-5365

✔ PECOS0.1 mi

Brynn Terry, LCSW

Clinical Social Worker

NPI 1215758347

200 HIGH SERVICE AVE
North Providence, RI 02904

(401) 456-3400

✔ PECOS✔ Accepts Medicare0.1 mi

Uchechukwu Ugorji, DO

Psychiatry

NPI 1033695986

200 HIGH SERVICE AVE
N Providence, RI 02904

(401) 456-3000

✔ PECOS✔ Accepts Medicare0.1 mi

Emily Dimon, MSW

Clinical Social Worker

NPI 1326560004

420 FRUIT HILL AVE
North Providence, RI 02911

(401) 353-3900

✔ PECOS✔ Accepts Medicare0.6 mi

Andrew Stone, MD

Pulmonary Disease

NPI 1538108857

1352 SMITH ST
North Providence, RI 02911

(401) 353-4500

✔ PECOS0.6 mi

Kathryn Mccullough, LCSW

Clinical Social Worker

NPI 1578014098

825 CHALKSTONE AVE
Providence, RI 02908

(401) 456-2000

✔ PECOS2.0 mi

Ayana Allard-Picou, M.D.

Surgical Oncology

NPI 1235428384

825 CHALKSTONE AVE
Providence, RI 02908

(401) 456-2464

✔ PECOS✔ Accepts Medicare2.0 mi

Alicia Alterio, MD

General Surgery

NPI 1588076558

825 CHALKSTONE AVE
Providence, RI 02908

(401) 456-2000

✔ PECOS✔ Accepts Medicare2.0 mi

Andrew Denicola

Mental Health Counselor

NPI 1104318138

825 CHALKSTONE AVE
Providence, RI 02908

(401) 456-2000

✔ PECOS✔ Accepts Medicare2.0 mi

Jeremy Parker, M.D.

Psychiatry

NPI 1780027888

825 CHALKSTONE AVE
Providence, RI 02908

(401) 456-2000

✔ PECOS✔ Accepts Medicare2.0 mi

Jeiny Zapata, NP

Nurse Practitioner

NPI 1750548665

877 CHALKSTONE AVE
Providence, RI 02908

(401) 456-2402

✔ PECOS✔ Accepts Medicare2.0 mi

See all 110 clinicians

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

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 Prospect Chartercare Sjhsri, LLC's NPI number?

The NPI number for Prospect Chartercare Sjhsri, LLC is 1588089759. It was assigned to this organization in the NPPES registry on February 25, 2014. The provider is doing business as Our Lady Of Fatima Hospital.

Where is Prospect Chartercare Sjhsri, LLC located?

Prospect Chartercare Sjhsri, LLC is located at 200 High Service Ave, North Providence, RI 02904. The listed phone number is (401) 456-3000.

What is Prospect Chartercare Sjhsri, LLC's specialty?

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

Is Prospect Chartercare Sjhsri, LLC enrolled in Medicare?

Yes. Prospect Chartercare Sjhsri, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prospect Chartercare Sjhsri, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 110 clinicians in 19 Medicare specialties reassign their Medicare billing to Prospect Chartercare Sjhsri, LLC. A 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 the clinician's services. The largest specialties are Clinical Social Worker (36), Nurse Practitioner (22) and Psychiatry (17). Of these, 73 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Prospect Chartercare Sjhsri, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Prospect Chartercare Sjhsri, LLC 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 Prospect Chartercare Sjhsri, LLC was last updated on December 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.