1. Home
  2. Directory
  3. Rhode Island
  4. Providence
  5. Internal Medicine
  6. NPI Profile

ROGER WILLIAMS MEDICAL CENTER
NPI 1649009507
Internal Medicine in Providence, RI

Active since July 30, 2024
825 CHALKSTONE AVE, PROVIDENCE, RI 02908(401) 456-2000(401) 456-2029 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Roger Williams Medical Center NPPES

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

ROGER WILLIAMS MEDICAL CENTER (NPI 1649009507) is a healthcare organization registered as an internal medicine in Providence, Rhode Island and active in the NPI registry since July 2024. The organization lists Jeffrey Liebman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1649009507
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCHARTERCARE ROGER WILLIAMS MEDICAL CENTER
Location Address825 CHALKSTONE AVEProvidence, RI 02908-4728
Mailing Address825 Chalkstone AveProvidence, RI 02908-4728 · (401) 456-2000 · Fax (401) 456-2029
Phone(401) 456-2000
Fax(401) 456-2029
Organization SubpartNo
Authorized OfficialJeffrey LiebmanCeo · (401) 456-2001
Enumeration DateJuly 30, 2024
Last NPPES UpdateJuly 31, 2024
NPPES CertifiedJuly 31, 2024
✔ NPI 1649009507 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 ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedSpecialistTaxonomy 174400000X
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X
Also ListedSurgeryTaxonomy 208600000X
Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
825 CHALKSTONE AVE, Providence, RI 02908
Open in Google Maps ↗

Other Names 1

Doing Business AsRoger Williams Medical Center

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Roger Williams Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

96

Medicare enrollment records show 96 clinicians reassign Medicare billing to Roger Williams Medical Center, which bills Medicare for the services they deliver. Of these, 19 practice at this address and 70 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 19

Clinical Social Worker18
Nurse Practitioner17
Internal Medicine14
Cardiovascular Disease (Cardiology)9
Psychiatry6
Surgical Oncology6
Hematology/Oncology4
Mental Health Counselor4
11 other specialties18

Nearest to this location (20)

See all 96
Joanna Abi Chebl, MD
Internal Medicine
NPI 1700504396
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-2000
✔ PECOS✔ Accepts MedicareSame address
Ayana Allard-Picou, M.D.
Surgical Oncology
NPI 1235428384
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-2464
✔ PECOS✔ Accepts MedicareSame address
Andrew Denicola
Mental Health Counselor
NPI 1104318138
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-2000
✔ PECOS✔ Accepts MedicareSame address
Radowan Elnair, MD
Hematology/Oncology
NPI 1124479811
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-6565
✔ PECOS✔ Accepts MedicareSame address
Alex Etienne, MD
Internal Medicine
NPI 1447221866
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-2363
✔ PECOS✔ Accepts MedicareSame address
Giovanna Fischer, APRN
Nurse Practitioner
NPI 1144977448
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-2000
✔ PECOS✔ Accepts MedicareSame address
Cristian Hiraldo-Infante, MD
Internal Medicine
NPI 1376039867
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-2000
✔ PECOS✔ Accepts MedicareSame address
Phyllis Kelliher, APRN, FNP-BC
Nurse Practitioner
NPI 1598101925
825 CHALKSTONE AVE
Providence, RI 02908
(401) 474-4288
✔ PECOS✔ Accepts MedicareSame address
William Kirkpatrick, MSW
Clinical Social Worker
NPI 1346687001
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-2152
✔ PECOSSame address
Shahzad Mehr, MD
Internal Medicine
NPI 1508344474
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-2000
✔ PECOS✔ Accepts MedicareSame address
Bryant Morocho, MD
Surgical Oncology
NPI 1386272839
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-2000
✔ PECOS✔ Accepts MedicareSame address
Patrick Ofori-Appiah, LCSW
Clinical Social Worker
NPI 1508264920
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-4807
✔ PECOS✔ Accepts MedicareSame address
Anthony Paoletta, LCSW
Clinical Social Worker
NPI 1861090508
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-2000
✔ PECOS✔ Accepts MedicareSame address
Jeremy Parker, M.D.
Psychiatry
NPI 1780027888
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-2000
✔ PECOS✔ Accepts MedicareSame address
Todd Roberts, MD
Medical Oncology
NPI 1003871336
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-6565
✔ PECOS✔ Accepts MedicareSame address
Joanna Sanzone
Nurse Practitioner
NPI 1144731191
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-6565
✔ PECOS✔ Accepts MedicareSame address
Valerie Zuercher
Clinical Social Worker
NPI 1023889391
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-4807
✔ PECOSSame address
Bharti Rathore, MD
Hematology/Oncology
NPI 1821043795
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-2077
✔ PECOS✔ Accepts MedicareSame address
Ritesh Rathore, MD
Hematology/Oncology
NPI 1467459263
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-2077
✔ PECOS✔ Accepts MedicareSame address
Ponnandai Somasundar, MD
Surgical Oncology
NPI 1538212923
50 MAUDE ST
Providence, RI 02908
(401) 456-2441
✔ PECOS✔ Accepts Medicare0.1 mi
See all 96 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 Chartercare Roger Williams Medical Center's NPI number?

The NPI number for Chartercare Roger Williams Medical Center is 1649009507. It was assigned to this organization in the NPPES registry on July 30, 2024. The provider is doing business as Roger Williams Medical Center.

Where is Chartercare Roger Williams Medical Center located?

Chartercare Roger Williams Medical Center is located at 825 Chalkstone Ave, Providence, RI 02908. The listed phone number is (401) 456-2000.

What is Chartercare Roger Williams Medical Center's specialty?

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

Is Chartercare Roger Williams Medical Center enrolled in Medicare?

Yes. Chartercare Roger Williams Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chartercare Roger Williams Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 96 clinicians in 19 Medicare specialties reassign their Medicare billing to Chartercare Roger Williams Medical Center. 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 Clinical Social Worker (18), Nurse Practitioner (17) and Internal Medicine (14). Of these, 19 practice at this address and 70 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 Chartercare Roger Williams Medical Center was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.