PILGRIM PARK PHYSICIANS
NPI 1619067386
Family Medicine in Warwick, RI
About Pilgrim Park Physicians NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PILGRIM PARK PHYSICIANS (NPI 1619067386) is a healthcare organization registered as a family medicine in Warwick, Rhode Island and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through April 28, 2027 and lists Joseph Anthony Grande, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pilgrim Park Physicians is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Pilgrim Park Physicians, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 41D1011967
Pilgrim Park Medical Associates · Warwick, RIFrequently 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 Pilgrim Park Medical Associates Ltd.'s NPI number?
The NPI number for Pilgrim Park Medical Associates Ltd. is 1619067386. It was assigned to this organization in the NPPES registry on October 13, 2006. The provider is doing business as Pilgrim Park Physicians.
Where is Pilgrim Park Medical Associates Ltd. located?
Pilgrim Park Medical Associates Ltd. is located at 1243 Post Rd Unit A, Warwick, RI 02888. The listed phone number is (401) 941-2999.
What is Pilgrim Park Medical Associates Ltd.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Pilgrim Park Medical Associates Ltd. enrolled in Medicare?
Yes. Pilgrim Park Medical Associates Ltd. is registered in the Medicare PECOS enrollment system.
When is Pilgrim Park Medical Associates Ltd.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Rhode Island, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Pilgrim Park Medical Associates Ltd.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Pilgrim Park Medical Associates Ltd., in Family Practice and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pilgrim Park Medical Associates Ltd. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 41D1011967) is associated with this NPI, valid through April 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Pilgrim Park Medical Associates Ltd. was last updated on February 26, 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.
# Pilgrim Park Physicians · NPI 1619067386
Family Medicine organization in Warwick, Rhode Island. Organization record, active in the CMS NPPES registry since October 13, 2006.
## Identity
- **NPI:** 1619067386 (Entity type: Organization)
- **Enumerated:** October 13, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Pilgrim Park Medical Associates Ltd.
- **Organization subpart:** No
- **Authorized official:** Joseph Grande, PRESIDENT
## Practice location
- **Address:** 1243 POST RD, UNIT A, Warwick, RI 02888-3221
- **Phone:** (401) 941-2999 · **Fax:** (401) 941-5830
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Rhode Island, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 26, 2010
- **Other identifiers:** Medicare PIN 9003103 (RI)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1619067386) · Data from the CMS NPPES public registry.