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EMILY KINGRY CARROLL MD
NPI 1629500913
Pediatrics in Providence, RI

Active since March 28, 2017PECOS Enrolled
101 DUDLEY ST, PROVIDENCE, RI 02905(401) 274-1122(401) 453-7571 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 21, 2026, Apr 3, 2025, Jul 12, 2024 and 2 more (5 updates tracked since 2017).

About Emily Kingry Carroll Md NPPES

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

EMILY KINGRY CARROLL MD (NPI 1629500913) is an individual pediatrics provider in Providence, Rhode Island, licensed in Rhode Island (MD20408) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629500913
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameEMILY KINGRY CARROLLCredential: MD
Location Address101 DUDLEY STProvidence, RI 02905-2401
Mailing Address455 Toll Gate Road, Prc And CredentialingWarwick, RI 02886-2759 · (401) 273-0641 · Fax (401) 273-2919
Phone(401) 274-1122
Fax(401) 453-7571
Sole ProprietorNo
Enumeration DateMarch 28, 2017
Last NPPES UpdateApril 21, 20265 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1629500913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in RI · MD20408
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.
101 DUDLEY ST, Providence, RI 02905
Open in Google Maps ↗

Other Names 1

Former Name (1)Emily Elizabeth Kingry

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Kingry Carroll 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 Emily Carroll reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Affinity Physicians LLC
Same address
Anesthesiology
101 DUDLEY STREET, WIH DEPT OF ANESTHESIOLOGY
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 984 clinicians in this Medicare group
NPI 1053038471 (401) 274-1122
University Of Virginia Physicians Group
459 mi
Neuromusculoskeletal Medicine, Sports Medicine
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 2,820 clinicians in this Medicare group
NPI 1033138250 (434) 295-1000

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 02905 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 20

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

CHRISTOPHER DONALD PALMER DO
Internal Medicine
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1122
BRITTANY S HAMPTON MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1100
HEIDI FANION LCSW
Social Worker (Clinical)
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1100
MS. LINDA BEETLESTONE MS
Genetic Counselor, MS
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 453-7515
JULIE ANNA KNUTSON RN, CNM
Advanced Practice Midwife
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1122
BETHANY DAWSON LICSW
Social Worker (Clinical)
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1100
HEATHER A SMITH MD, MPH
Obstetrics & Gynecology (Obstetrics)
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1122
NADINE C KASSIS MD
Obstetrics & Gynecology
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1100

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 Emily Carroll's NPI number?

The NPI number for Emily Carroll is 1629500913. It was assigned to this individual provider in the NPPES registry on March 28, 2017. The provider is also known as Emily Elizabeth Kingry.

Where is Emily Carroll located?

Emily Carroll practices at 101 Dudley St, Providence, RI 02905. The listed phone number is (401) 274-1122.

What is Emily Carroll's specialty?

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

Is Emily Carroll enrolled in Medicare?

Yes. Emily Carroll is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Emily Carroll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Carroll reassigns Medicare benefits to 2 organizations: Affinity Physicians LLC (Providence, RI) and University Of Virginia Physicians Group (Charlottesville, VA). 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 Emily Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Carroll accept?

Health plans from WellSense Health Plan list Emily Carroll as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Emily Carroll was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.