1. Home
  2. Directory
  3. Rhode Island
  4. East Greenwich
  5. Nurse Practitioner
  6. NPI Profile

HENRY RANDALL PENDLETON JR. N.P.
NPI 1669810529
Nurse Practitioner - Adult Health in East Greenwich, RI

Active since June 12, 2013PECOS Enrolled
1407 S COUNTY TRL, EAST GREENWICH, RI 02818(401) 886-4040(401) 886-4010 Get Directions Write a Review

NPPES record last updated: June 12, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Henry Randall Pendleton Jr. N.p. NPPES

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

HENRY RANDALL PENDLETON JR. N.P. (NPI 1669810529) is an individual adult health provider in East Greenwich, Rhode Island, licensed in Rhode Island (NPP37741) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669810529
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameHENRY RANDALL PENDLETON JR.Credential: N.P.
Location Address1407 S COUNTY TRLEast Greenwich, RI 02818-1652
Mailing Address33 Staniford StProvidence, RI 02905-3105 · (401) 421-8800 · Fax (401) 273-6510
Phone(401) 886-4040
Fax(401) 886-4010
Sole ProprietorNo
Enumeration DateJune 12, 2013
✔ NPI 1669810529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in RI · NPP37741
1407 S COUNTY TRL, East Greenwich, RI 02818
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Henry Randall Pendleton Jr. N.p. 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 Reassignment

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

University Gastroenterology, LLC
11 mi
Gastroenterology
33 STANIFORD ST
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 141 clinicians in this Medicare group
NPI 1386952612 (401) 421-8800

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 7

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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
90 services48 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
30 services25 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
26 services17 patients
Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342
A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.
24 services24 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
21 services17 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02818 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 10

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

YOUR HEALTH
Internal Medicine
1407 S COUNTY TRL, UNIT 422
EAST GREENWICH, RI 02818
Kent County (401) 398-2656
DR. CAROLINE JOY GOLSKI MD
Psychiatry & Neurology (Psychiatry)
1407 S COUNTY TRL
EAST GREENWICH, RI 02818
Kent County (401) 606-4415
ANITA SZTUKOWSKA PA-C
Physician Assistant
1407 S COUNTY TRL
EAST GREENWICH, RI 02818
Kent County (401) 886-4040
ANGELA FISHMAN D.O.
Internal Medicine (Gastroenterology)
1407 S COUNTY TRL, BUILDING 4 SUITE 410
EAST GREENWICH, RI 02818
Kent County (401) 886-4040
MICHAEL L STANCHINA MD
Internal Medicine (Pulmonary Disease)
1407 S COUNTY TRL
EAST GREENWICH, RI 02818
Kent County (401) 886-7910
PAIGE MARIE HUBBARD PA
Physician Assistant
1407 S COUNTY TRL
EAST GREENWICH, RI 02818
Kent County (401) 886-4040
DR. PEDRO MARIANO BARROS M.D.
Internal Medicine (Gastroenterology)
1407 S COUNTY TRL, BLDG #4 SUITE 410
EAST GREENWICH, RI 02818
Kent County (401) 886-4040
PEDRO BARROS, M.D., INC
Internal Medicine (Gastroenterology)
1407 S COUNTY TRL, BUILDING 4 SUITE 410
EAST GREENWICH, RI 02818
Kent County (401) 886-4040

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 Henry Pendleton's NPI number?

The NPI number for Henry Pendleton is 1669810529. It was assigned to this individual provider in the NPPES registry on June 12, 2013.

Where is Henry Pendleton located?

Henry Pendleton practices at 1407 S County Trl, East Greenwich, RI 02818. The listed phone number is (401) 886-4040.

What is Henry Pendleton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Henry Pendleton enrolled in Medicare?

Yes. Henry Pendleton is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Henry Pendleton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Henry Pendleton reassigns Medicare benefits to University Gastroenterology, LLC (Providence, 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 Henry Pendleton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Henry Pendleton was last updated on June 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.