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SATORI IWAMOTO M.D.
NPI 1609820604
Dermatology in Providence, RI

Active since May 22, 2006PECOS Enrolled
50 MAUDE ST, PROVIDENCE, RI 02908(401) 456-2327 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Satori Iwamoto M.d. NPPES

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

SATORI IWAMOTO M.D. (NPI 1609820604) is an individual dermatology provider in Providence, Rhode Island, licensed in Rhode Island (11161) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609820604
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameSATORI IWAMOTOCredential: M.D.
Location Address50 MAUDE STProvidence, RI 02908-4325
Mailing Address50 Maude StProvidence, RI 02908-4325 · (401) 456-5368 · Fax (401) 456-5782
Phone(401) 456-2327
Sole ProprietorNo
Enumeration DateMay 22, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1609820604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in RI · 11161
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
50 MAUDE ST, Providence, RI 02908
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Other Identifiers 1

Medicaid9024198RI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Satori Iwamoto M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Satori Iwamoto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prospect Chartercare Physicians, LLC
3.9 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.

Areas of Expertise CMS Part B claims 5

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.

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
35 services33 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312
This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.
18 services16 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.
14 services14 patients
Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks 17313
This procedure involves the removal of a growth from your trunk, arms, or legs. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to identify any abnormalities. This helps in diagnosing and planning further treatment.
11 services11 patients

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
$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 20

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

ROGER WILLIAMS RADIATION THERAPY, LLC
Radiology (Radiation Oncology)
50 MAUDE ST
PROVIDENCE, RI 02908
Providence County (401) 456-2690
DANIEL N VALICENTI MD
Internal Medicine
50 MAUDE ST, 4TH FLOOR
PROVIDENCE, RI 02908
Providence County (401) 456-5300
MOHAMMAD ABDALLAT MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
50 MAUDE ST
PROVIDENCE, RI 02908
Providence County (401) 456-2077
NEW UNIVERSITY MEDICAL GROUP LLC
Internal Medicine
50 MAUDE ST
PROVIDENCE, RI 02908
Providence County (401) 456-2525
ROGER WILLIAMS MEDICAL CENTER
Home Health
50 MAUDE ST
PROVIDENCE, RI 02908
Providence County (401) 456-2273
ELINA GOMAN BASKIN O.D.
Optometrist
50 MAUDE ST
PROVIDENCE, RI 02908
Providence County (401) 351-5664
RABIH EL-BIZRI MD
Internal Medicine (Pulmonary Disease)
50 MAUDE ST
PROVIDENCE, RI 02908
Providence County (401) 456-5714
ELMHURST EXTENDED CARE FACILITIES, INC.
Skilled Nursing Facility
50 MAUDE ST
PROVIDENCE, RI 02908
Providence County (401) 456-2623

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 Satori Iwamoto's NPI number?

The NPI number for Satori Iwamoto is 1609820604. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Where is Satori Iwamoto located?

Satori Iwamoto practices at 50 Maude St, Providence, RI 02908. The listed phone number is (401) 456-2327.

What is Satori Iwamoto's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Satori Iwamoto enrolled in Medicare?

Yes. Satori Iwamoto is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Satori Iwamoto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Satori Iwamoto reassigns Medicare benefits to Prospect Chartercare Physicians, LLC (Cranston, RI). The 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 Satori Iwamoto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Satori Iwamoto was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.