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JON M. DOOLEY MD
NPI 1619472339
Pediatrics in Pawtucket, RI

Active since March 26, 2018PECOS Enrolled
1145 MAIN ST, PAWTUCKET, RI 02860(401) 722-0081 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2025, Feb 5, 2024, Jan 19, 2022 and 1 more (4 updates tracked since 2018).

About Jon M. Dooley Md NPPES

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

JON M. DOOLEY MD (NPI 1619472339) is an individual pediatrics provider in Pawtucket, Rhode Island, licensed in Rhode Island (MD18262) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619472339
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJON M. DOOLEYCredential: MD
Location Address1145 MAIN STPawtucket, RI 02860-7825
Mailing Address1145 Main StPawtucket, RI 02860-7825 · (401) 722-0081
Phone(401) 722-0081
Sole ProprietorNo
Enumeration DateMarch 26, 2018
Last NPPES UpdateOctober 6, 20254 updates tracked since enumeration
NPPES CertifiedOctober 6, 2025
✔ NPI 1619472339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in RI · MD18262
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1145 MAIN ST, Pawtucket, RI 02860
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jon M. Dooley Md 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 Reassignments

2

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

Blackstone Valley Community Health Care, Inc.
1.5 mi
Federally Qualified Health Center (FQHC)
39 EAST AVE
Pawtucket, RI 02860
  • Reassigned Medicare billing, Rhode Island enrollment
  • 75 clinicians in this Medicare group
NPI 1063574135 (401) 312-9892
Prospect Chartercare Sjhsri, LLC
3.1 mi
Internal Medicine
200 HIGH SERVICE AVE
North Providence, RI 02904
  • Reassigned Medicare billing, Rhode Island enrollment
  • 110 clinicians in this Medicare group
NPI 1588089759 (401) 456-3000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02860 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
$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 10

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

MS. KATELYN MAE LARSSON PA-C
Physician Assistant
1145 MAIN ST
PAWTUCKET, RI 02860
Providence County (401) 722-0081
HOPE ELLEN BURNS PAC
Physician Assistant (Medical)
1145 MAIN ST
PAWTUCKET, RI 02860
Providence County (401) 305-5280
MRS. MADISON WANYO PA
Physician Assistant
1145 MAIN ST
PAWTUCKET, RI 02860
Providence County (401) 722-0081
PEGGY MARTINEZ
Community Health Worker
1145 MAIN ST
PAWTUCKET, RI 02860
Providence County (401) 721-8801
KUNJBALA SHARMA MD
Family Medicine
1145 MAIN ST
PAWTUCKET, RI 02860
Providence County (401) 722-0081
TODD EVAN HANDEL MD
Physical Medicine & Rehabilitation (Pain Medicine)
1145 MAIN ST
PAWTUCKET, RI 02860
Providence County (401) 305-5280
LIVIA MOSES
Physician Assistant
1145 MAIN ST
PAWTUCKET, RI 02860
Providence County (401) 722-0081
MS. ALYSSA MICHELLE NEWTON LICSW
Social Worker (Clinical)
1145 MAIN ST
PAWTUCKET, RI 02860
Providence County (401) 722-0081

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 Jon Dooley's NPI number?

The NPI number for Jon Dooley is 1619472339. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Where is Jon Dooley located?

Jon Dooley practices at 1145 Main St, Pawtucket, RI 02860. The listed phone number is (401) 722-0081.

What is Jon Dooley's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jon Dooley enrolled in Medicare?

Yes. Jon Dooley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jon Dooley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jon Dooley reassigns Medicare benefits to 2 organizations: Blackstone Valley Community Health Care, Inc. (Pawtucket, RI) and Prospect Chartercare Sjhsri, LLC (North Providence, 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 Jon Dooley'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 Jon Dooley was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.