PROSPECT CHARTERCARE PHYSICIANS, LLC
NPI 1629493135
Internal Medicine in Cranston, RI

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

The NPI number for Prospect Chartercare Physicians, LLC is 1629493135. It was assigned to this organization in the NPPES registry on February 20, 2014. The provider is doing business as CharterCARE Medical Associates.

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

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

Active since February 20, 2014

1681 CRANSTON ST, CRANSTON, RI 02920(401) 944-6889(401) 944-6726 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 23, 2021, Jan 11, 2021, Sep 12, 2017 and 1 more (4 updates tracked since 2017).

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About Prospect Chartercare Physicians, Llc NPPES

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

PROSPECT CHARTERCARE PHYSICIANS, LLC (NPI 1629493135), doing business as Chartercare Medical Associates, is a healthcare organization registered as an internal medicine in Cranston, Rhode Island and active in the NPI registry since February 2014. The organization maintains 2 additional practice locations and lists Robert Jon Elders, Secretary, as its authorized official.

NPPES Registry Identity

NPI1629493135

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NamePROSPECT CHARTERCARE PHYSICIANS, LLC

Location Address1681 CRANSTON STCranston, RI 02920-5000

Mailing Address825 Chalkstone AveProvidence, RI 02908-4728 · (401) 456-2025 · Fax (401) 456-2029

Phone(401) 944-6889

Fax(401) 944-6726

Organization SubpartNo

Authorized OfficialRobert Jon EldersSecretary · (714) 788-1249

Enumeration DateFebruary 20, 2014

Last NPPES UpdateJuly 15, 20254 updates tracked since enumeration

NPPES CertifiedJuly 15, 2025

✔ NPI 1629493135 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 ListedNutritionistTaxonomy 133N00000X

Also ListedDietitian, Registered · Nutrition, MetabolicTaxonomy 133VN1006X

Also ListedDermatologyTaxonomy 207N00000X · License PR98473 (RI)

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

Also ListedNeurological SurgeryTaxonomy 207T00000X

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X

Also ListedSurgeryTaxonomy 208600000X

Also ListedUrologyTaxonomy 208800000X

1681 CRANSTON ST, Cranston, RI 02920

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Other Names 1

Doing Business AsChartercare Medical Associates

Secondary Practice Locations 2

Location 141 Sanderson RdSmithfield, RI 02917-2602 · Phone (401) 521-6310

Location 2466 Putnam PikeGreenville, RI 02828-3000 · Phone (401) 456-6511

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prospect Chartercare Physicians, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

145

Medicare enrollment records show 145 clinicians reassign Medicare billing to Prospect Chartercare Physicians, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 106 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 18

Internal Medicine43

Nurse Practitioner35

Family Practice19

General Surgery9

Urology7

Gastroenterology5

Registered Dietitian or Nutrition Professional5

Dermatology4

10 other specialties18

Nearest to this location (20)

See all 145

Gregory Allen, D.O.

Internal Medicine

NPI 1043217250

1681 CRANSTON ST SUITE D
Cranston, RI 02920

(401) 946-8446

✔ PECOS✔ Accepts MedicareSame address

Usha Panneerselvam, MD

Internal Medicine

NPI 1114944006

351 BUDLONG RD
Cranston, RI 02920

(401) 943-1860

✔ PECOS0.8 mi

Madiha Ali, M.D.

Family Practice

NPI 1083233373

725 RESERVOIR AVE STE 6A
Cranston, RI 02910

(401) 942-2320

✔ PECOS✔ Accepts Medicare1.1 mi

Dennis Botelho, MD

Internal Medicine

NPI 1639166655

725 RESERVOIR AVE STE 6A
Cranston, RI 02910

(401) 942-2320

✔ PECOS1.1 mi

Andrea Demers, CNP

Nurse Practitioner

NPI 1154395721

725 RESERVOIR AVE STE 6A
Cranston, RI 02910

(401) 829-4446

✔ PECOS✔ Accepts Medicare1.1 mi

Ralph Santoro, M.D.

Internal Medicine

NPI 1710098249

725 RESERVOIR AVE STE 103
Cranston, RI 02910

(401) 829-4446

✔ PECOS✔ Accepts Medicare1.1 mi

Michael Hayden, D.O.

Family Practice

NPI 1770512766

712 OAKLAWN AVE SUITE 5
Cranston, RI 02920

(401) 942-2320

✔ PECOS✔ Accepts Medicare2.2 mi

Raymond Chaquette, M.D.

Hematology/Oncology

NPI 1992706139

235 PLAIN ST SUITE 203
Providence, RI 02905

(401) 272-9880

✔ PECOS3.2 mi

Karen Rizzuto, MS, RD, LDN

Registered Dietitian or Nutrition Professional

NPI 1366166530

245 CHAPMAN ST STE 300
Providence, RI 02905

(401) 444-7152

3.2 mi

Audrey Boyle, APRN

Nurse Practitioner

NPI 1346686102

101 DUDLEY ST
Providence, RI 02905

(401) 453-7950

✔ PECOS✔ Accepts Medicare3.3 mi

Paul Lentrichia

General Surgery

NPI 1851314959

RHODE ISLAND SURGEONS INC 1539 ATWOOD AVENUE SUITE 201
Johnston, RI 02919

(401) 521-6310

3.5 mi

Laura Della Torre, M.D.

Dermatology

NPI 1215086988

1539 ATWOOD AVE STE 301
Providence, RI 02919

(401) 490-4515

✔ PECOS✔ Accepts Medicare3.5 mi

Michael Alavian, M.D.

Urology

NPI 1538489364

1524 ATWOOD AVE STE 322
Johnston, RI 02919

(401) 331-7400

✔ PECOS✔ Accepts Medicare3.5 mi

Sumit Das, M.D.

Neurosurgery

NPI 1932180429

1526 ATWOOD AVE SUITE 200
Johnston, RI 02919

(401) 270-5395

✔ PECOS✔ Accepts Medicare3.6 mi

Abd Abdelrahman, M.D.

Pulmonary Disease

NPI 1972935476

825 CHALKSTONE AVE
Providence, RI 02908

(401) 456-2000

✔ PECOS✔ Accepts Medicare3.8 mi

Alexander Harmatz, M.D.

Gastroenterology

NPI 1730142696

825 CHALKSTONE AVE
Providence, RI 02908

(401) 456-6510

✔ PECOS✔ Accepts Medicare3.8 mi

Dimitra Skiada

Infectious Disease

NPI 1730562851

825 CHALKSTONE AVE
Providence, RI 02908

(401) 456-2437

✔ PECOS✔ Accepts Medicare3.8 mi

Gayle Rebovich, MD

Neurology

NPI 1780891440

825 CHALKSTONE AVE
Providence, RI 02908

(401) 456-2000

✔ PECOS✔ Accepts Medicare3.8 mi

Katarzyna Gilek-Seibert, MD

Rheumatology

NPI 1972651677

50 MAUDE ST
Providence, RI 02908

(401) 456-2699

✔ PECOS✔ Accepts Medicare3.9 mi

Joseph Tucci, M.D.

Endocrinology

NPI 1780641084

50 MAUDE ST
Providence, RI 02908

(401) 456-5716

✔ PECOS3.9 mi

See all 145 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 Physicians, LLC's NPI number?

The NPI number for Prospect Chartercare Physicians, LLC is 1629493135. It was assigned to this organization in the NPPES registry on February 20, 2014. The provider is doing business as CharterCARE Medical Associates.

Where is Prospect Chartercare Physicians, LLC located?

Prospect Chartercare Physicians, LLC is located at 1681 Cranston St, Cranston, RI 02920. The listed phone number is (401) 944-6889.

What is Prospect Chartercare Physicians, LLC's specialty?

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

Is Prospect Chartercare Physicians, LLC enrolled in Medicare?

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

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

According to the CMS Revalidation Reassignment List (October 2026 release), 145 clinicians in 18 Medicare specialties reassign their Medicare billing to Prospect Chartercare Physicians, 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 Internal Medicine (43), Nurse Practitioner (35) and Family Practice (19). Of these, 1 practice at this address and 106 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Prospect Chartercare Physicians, LLC was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.