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FRANK W LAFAZIA D.O.
NPI 1659377307
Family Medicine in West Warwick, RI

Active since June 27, 2005PECOS EnrolledAccepts Medicare Assignment
37 WASHINGTON ST, WEST WARWICK, RI 02893(401) 467-6210(401) 821-8270 Get Directions Write a Review

NPPES record last updated: September 18, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Frank W Lafazia D.o. NPPES

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

FRANK W LAFAZIA D.O. (NPI 1659377307) is an individual family medicine provider in West Warwick, Rhode Island, licensed in Rhode Island (DO00385) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Kent County Memorial Hospital, and is a graduate of University Of New England, College Of Osteo Medicine (1984).

NPPES Registry Identity

NPI1659377307
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameFRANK W LAFAZIACredential: D.O.
Location Address37 WASHINGTON STWest Warwick, RI 02893-4927
Mailing Address37 Washington StWest Warwick, RI 02893-4927 · (401) 467-6210 · Fax (401) 821-8270
Phone(401) 467-6210
Fax(401) 821-8270
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 1984
Enumeration DateJune 27, 2005
Last NPPES UpdateSeptember 18, 2020
NPPES CertifiedSeptember 18, 2020
✔ NPI 1659377307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in RI · DO00385
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
37 WASHINGTON ST, West Warwick, RI 02893
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Other Identifiers 1

Medicaid9003091RI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Frank W Lafazia D.o. 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 ID2264459551
PECOS Enrollment IDI20051026000552
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 Reassignment

Medicare enrollment records show Frank Lafazia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Frank W Lafazia Inc
Same address
Family Medicine
37 WASHINGTON ST
West Warwick, RI 02893
  • Reassigned Medicare billing, Rhode Island enrollment
NPI 1952949489 (401) 467-6210

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
309 services157 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
154 services103 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
22 services15 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410009
Location455 Toll Gate RdWarwick, RI 02886 · Kent County
Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02893 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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers28 claims82 services$5.91 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier12 claims12 services$28.10 avg. paid by Medicare
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$13.77 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$14.07 avg. paid by Medicare
Manual adult size wheelchair, includes tilt in space E1161
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$187.05 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
6 suppliers18 claims3,884 services$0.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

MEDICAL GROUP OF RHODE ISLAND,INC
Specialist
37 WASHINGTON ST
WEST WARWICK, RI 02893
Kent County (401) 821-4707
DR. KARIM Z KHANBHAI M.D.
Pediatrics
37 WASHINGTON ST
WEST WARWICK, RI 02893
Kent County (401) 381-0066
CHILDREN'S CHOICE PEDIATRICS
Clinic/Center (Primary Care)
37 WASHINGTON ST
WEST WARWICK, RI 02893
Kent County (401) 381-0066
ALEXANDRA E ZIMISH PA-C
Physician Assistant
37 WASHINGTON ST
WEST WARWICK, RI 02893
Kent County (401) 467-6210
FRANK W LAFAZIA INC
Family Medicine
37 WASHINGTON ST
WEST WARWICK, RI 02893
Kent County (401) 467-6210

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 Frank Lafazia's NPI number?

The NPI number for Frank Lafazia is 1659377307. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Frank Lafazia located?

Frank Lafazia practices at 37 Washington St, West Warwick, RI 02893. The listed phone number is (401) 467-6210.

What is Frank Lafazia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Frank Lafazia enrolled in Medicare?

Yes. Frank Lafazia 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.

Which organization bills Medicare for Frank Lafazia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Frank Lafazia reassigns Medicare benefits to Frank W Lafazia Inc (West Warwick, RI). The 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 Frank Lafazia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Frank Lafazia affiliated with any hospitals?

According to CMS data, Frank Lafazia is affiliated with Kent County Memorial Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Frank Lafazia was last updated on September 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.