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GABRIELLE OLIVIA GONTAREK
NPI 1629871470
Physician Assistant in Providence, RI

Active since March 28, 2025PECOS EnrolledAccepts Medicare Assignment
593 EDDY ST, PROVIDENCE, RI 02903(401) 793-9166(401) 444-2788 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2025, Mar 28, 2025 (2 updates tracked since 2025).

About Gabrielle Olivia Gontarek NPPES

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

GABRIELLE OLIVIA GONTAREK (NPI 1629871470) is an individual physician assistant in Providence, Rhode Island, licensed in Rhode Island (PA01797) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1629871470
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGABRIELLE OLIVIA GONTAREK
Location Address593 EDDY STProvidence, RI 02903-4923
Mailing Address593 Eddy StProvidence, RI 02903-4923 · (401) 793-9166 · Fax (401) 444-2788
Phone(401) 793-9166
Fax(401) 444-2788
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 28, 2025
Last NPPES UpdateJuly 10, 20252 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
✔ NPI 1629871470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in RI · PA01797
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
593 EDDY ST, Providence, RI 02903
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Secondary Practice Locations 2

Location 1593 Eddy Street, APC 7Providence, RI 02903-4923 · Phone (401) 793-9132 · Fax (401) 444-2788
Location 2593 Eddy Street, APC 6Providence, RI 02903-4923 · Phone (401) 793-9166 · Fax (401) 444-2788

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

Gabrielle Olivia Gontarek 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 ID2668986464
PECOS Enrollment IDI20250703002778
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.

Hospital Affiliations CMS Care Compare

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

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 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
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
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.

DR. KEITH-AUSTIN SCARFO D.O.
Anesthesiology
593 EDDY ST, APC 6
PROVIDENCE, RI 02903
Providence County (401) 444-3777
AILEEN HSUEH
Surgery
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-8450
RHODE ISLAND HOSPITAL
General Acute Care Hospital
593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903
Providence County (401) 444-7585
DR. GA HIE NAM M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-5057
EUGENIE ATALLAH
Psychiatry & Neurology (Neurology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 606-2645
BRIAN CAO MD
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 606-4286
BRET CAULFIELD
Physician Assistant
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-4000
JUNG HO GONG
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 793-2695

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 Gabrielle Gontarek's NPI number?

The NPI number for Gabrielle Gontarek is 1629871470. It was assigned to this individual provider in the NPPES registry on March 28, 2025.

Where is Gabrielle Gontarek located?

Gabrielle Gontarek practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 793-9166.

What is Gabrielle Gontarek's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Gabrielle Gontarek enrolled in Medicare?

Yes. Gabrielle Gontarek 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 Gabrielle Gontarek affiliated with any hospitals?

According to CMS data, Gabrielle Gontarek is affiliated with Rhode Island Hospital.

When was this NPI record last updated?

The NPPES record for Gabrielle Gontarek was last updated on July 10, 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.