NINA KARLSEN AYALA MD
NPI 1669899522
Obstetrics & Gynecology - Maternal & Fetal Medicine in Providence, RI

Active since March 27, 2014PECOS EnrolledAccepts Medicare Assignment
101 PLAIN ST FL 6, PROVIDENCE, RI 02903(401) 274-1122 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2024, Jul 9, 2021, Apr 14, 2018 and 1 more (4 updates tracked since 2016).

About Nina Karlsen Ayala Md NPPES

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

NINA KARLSEN AYALA MD (NPI 1669899522) is an individual maternal & fetal medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD16234) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1669899522
Entity TypeIndividualFemale
Primary Taxonomy207VM0101X
Provider Legal NameNINA KARLSEN AYALACredential: MD
Location Address101 PLAIN ST FL 6Providence, RI 02903
Mailing Address455 Toll Gate RdWarwick, RI 02886-2759 · (401) 273-0641
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 27, 2014
Last NPPES UpdateJuly 9, 20244 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
NPI 1669899522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License Licensed in RI · MD16234
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License MD16234 (RI)
101 PLAIN ST FL 6, Providence, RI 02903

Other Names 1

Former Name (1)Nina Terez Karlsen-ayala

Secondary Practice Locations 2

Location 1101 Dudley StProvidence, RI 02905-2401 · Phone (401) 274-1100
Location 2300A Faunce Corner Rd Ste 202North Dartmouth, MA 02747 · Phone (508) 995-2762

Accepted Insurance

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

Nina Karlsen Ayala Md 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 ID9133418270
PECOS Enrollment IDI20180605002695, I20210720000223
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.

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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
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 14

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

Social Worker (Clinical)
101 PLAIN ST FL 6
PROVIDENCE, RI 02903
Obstetrics & Gynecology (Maternal & Fetal Medicine)
101 PLAIN ST FL 6
PROVIDENCE, RI 02903
Obstetrics & Gynecology (Maternal & Fetal Medicine)
101 PLAIN ST FL 6
PROVIDENCE, RI 02903
Obstetrics & Gynecology (Maternal & Fetal Medicine)
101 PLAIN ST FL 6
PROVIDENCE, RI 02903
Genetic Counselor, MS
101 PLAIN ST FL 6
PROVIDENCE, RI 02903
Obstetrics & Gynecology (Maternal & Fetal Medicine)
101 PLAIN ST FL 6
PROVIDENCE, RI 02903
Pediatrics (Neonatal-Perinatal Medicine)
101 PLAIN ST FL 6
PROVIDENCE, RI 02903
Genetic Counselor, MS
101 PLAIN ST FL 6
PROVIDENCE, RI 02903

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 Nina Ayala's NPI number?

The NPI number for Nina Ayala is 1669899522. It was assigned to this individual provider in the NPPES registry on March 27, 2014. The provider is also known as Nina Terez Karlsen-Ayala.

Where is Nina Ayala located?

Nina Ayala practices at 101 Plain St Fl 6, Providence, RI 02903. The listed phone number is (401) 274-1122.

What is Nina Ayala's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Nina Ayala enrolled in Medicare?

Yes. Nina Ayala 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.

What insurance does Nina Ayala accept?

Health plans from Anthem Blue Cross and Blue Shield list Nina Ayala as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nina Ayala was last updated on July 9, 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.