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PHILIP JOSEPH OPALENSKI MD
NPI 1619062411
Internal Medicine - Gastroenterology in Cranston, RI

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
725 RESERVOIR AVE, STE 205, CRANSTON, RI 02910(401) 943-7222(401) 944-7430 Get Directions Write a Review

NPPES record last updated: January 20, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Philip Joseph Opalenski Md NPPES

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

PHILIP JOSEPH OPALENSKI MD (NPI 1619062411) is an individual gastroenterology provider in Cranston, Rhode Island, licensed in Rhode Island (5679) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Landmark Medical Center, and is a graduate of Other (1974).

NPPES Registry Identity

NPI1619062411
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NamePHILIP JOSEPH OPALENSKICredential: MD
Location Address725 RESERVOIR AVE, STE 205Cranston, RI 02910
Mailing Address725 Reservoir Ave, Ste 205Cranston, RI 02910 · (401) 943-7222 · Fax (401) 944-7430
Phone(401) 943-7222
Fax(401) 944-7430
Sole ProprietorYes
Medical School CMSOtherGraduated 1974
Enumeration DateOctober 4, 2006
Last NPPES UpdateJanuary 20, 2010
✔ NPI 1619062411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in RI · 5679
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
725 RESERVOIR AVE, Cranston, RI 02910
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified109001120
Medicaid9001120RI
Medicare UPINC89761

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Philip Joseph Opalenski 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 ID2264560184
PECOS Enrollment IDI20100513000066
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.

Areas of Expertise CMS Part B claims 3

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
58 services55 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
26 services26 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Landmark Medical Center

Acute Care Hospitals · Woonsocket, RI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410011
Location115 Cass AvenueWoonsocket, RI 02895 · Providence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02910 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.

JOSEPH V. CENTOFANTI, MD
Specialist
725 RESERVOIR AVE, SUITE 308
CRANSTON, RI 02910
Providence County (401) 944-9559
MELISSA A ROBERTS-CENTOFANTI SPEECH PATHOLOGY
Speech-Language Pathologist
725 RESERVOIR AVE, SUITE 308
CRANSTON, RI 02910
Providence County (401) 944-9559
DR. MARK ROSENBERG M.D.
Family Medicine
725 RESERVOIR AVE, SUITE 102
CRANSTON, RI 02910
Providence County (401) 943-6910
DR. PATRICK JOSEPH BRANNON M.D.
Specialist
725 RESERVOIR AVE, SUITE 204
CRANSTON, RI 02910
Providence County (401) 946-1810
MICHAEL PETER MARIORENZI MD
Orthopaedic Surgery
725 RESERVOIR AVE, #101
CRANSTON, RI 02910
Providence County (401) 944-3800
COMPREHENSIVE OB/GYN CARE, INC
Obstetrics & Gynecology
725 RESERVOIR AVE
CRANSTON, RI 02910
Providence County (401) 946-4022
A. MICHAEL COPPA MD
Obstetrics & Gynecology
725 RESERVOIR AVE
CRANSTON, RI 02910
Providence County (401) 946-4022
JEFFREY WILSON MD
Family Medicine
725 RESERVOIR AVE, SUITE 102
CRANSTON, RI 02910
Providence County (401) 943-6910

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 Philip Opalenski's NPI number?

The NPI number for Philip Opalenski is 1619062411. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Philip Opalenski located?

Philip Opalenski practices at 725 Reservoir Ave Ste 205, Cranston, RI 02910. The listed phone number is (401) 943-7222.

What is Philip Opalenski's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Philip Opalenski enrolled in Medicare?

Yes. Philip Opalenski 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.

Is Philip Opalenski affiliated with any hospitals?

According to CMS data, Philip Opalenski is affiliated with Landmark Medical Center.

When was this NPI record last updated?

The NPPES record for Philip Opalenski was last updated on January 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.