UNIVERSITY INTERNAL MEDICINE,INC
NPI 1669507133
Internal Medicine in Pawtucket, RI

Active since February 23, 2007CLIA 41D1009688 · Waiver
407 EAST AVE STE 110, PAWTUCKET, RI 02860(401) 725-4700(401) 725-4740 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 12, 2026, Nov 14, 2025, Sep 17, 2025 and 1 more (4 updates tracked since 2024).

About University Internal Medicine,inc NPPES

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

UNIVERSITY INTERNAL MEDICINE,INC (NPI 1669507133) is a healthcare organization registered as an internal medicine in Pawtucket, Rhode Island and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through February 23, 2027 and lists Colleen Whalen, Claims & Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1669507133
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameUNIVERSITY INTERNAL MEDICINE,INC
Location Address407 EAST AVE STE 110Pawtucket, RI 02860-5299
Mailing Address407 East Ave Ste 110Pawtucket, RI 02860-5299 · (401) 725-4700 · Fax (401) 725-4740
Fax(401) 725-4740
Organization SubpartNo
Authorized OfficialColleen WhalenClaims & Credentialing Specialist · (401) 725-4700
Enumeration DateFebruary 23, 2007
Last NPPES UpdateAugust 12, 20264 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
✔ NPI 1669507133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
407 EAST AVE STE 110, Pawtucket, RI 02860

Other Identifiers 10

Other1669507133RI · Unitedhealthcare
MedicaidUI50623RI
Other1669507133RI · Cigna
Other1669507133RI · Bluechip
Other1669507133RI · Hphc
Other1669507133RI · Aetna
Other1669507133RI · Bcbs
Other1669507133RI · Tuftsritogether
Other1669507133RI · Neighborhoodhealthplanofrhodeisland
Other1669507133RI · Npi

Group Practice 1

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)

University Internal Medicine,inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to University Internal Medicine,inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Internal Medicine
NPI 1346202884
407 EAST AVE SUITE120
Pawtucket, RI 02860
(401) 725-4700
✔ PECOSSame address
Internal Medicine
NPI 1730140864
407 EAST AVE STE 110
Pawtucket, RI 02860
(401) 725-4739
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1720049802
407 EAST AVE STE 110
Pawtucket, RI 02860
(401) 725-4700
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 41D1009688

University Internal Medicine, Inc · Pawtucket, RI
Active · expires Feb 23, 2027
CLIA Number41D1009688
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2025
Certificate Expiration DateFebruary 23, 2027
Laboratory DirectorDavid A. Maroux
Laboratory Phone(401) 725-4700
Laboratory LocationUniversity Internal Medicine, Inc407 East Ave Suite 110, Pawtucket, RI 02860
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 University Internal Medicine,inc's NPI number?

The NPI number for University Internal Medicine,inc is 1669507133. It was assigned to this organization in the NPPES registry on February 23, 2007.

Where is University Internal Medicine,inc located?

University Internal Medicine,inc is located at 407 East Ave Ste 110, Pawtucket, RI 02860. The listed phone number is (401) 725-4700.

What is University Internal Medicine,inc's specialty?

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

Is University Internal Medicine,inc enrolled in Medicare?

Yes. University Internal Medicine,inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through University Internal Medicine,inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Internal Medicine, reassign their Medicare billing to University Internal Medicine,inc. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does University Internal Medicine,inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D1009688) is associated with this NPI, valid through February 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for University Internal Medicine,inc was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.