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DR. ADDERLY MARCELL TORIBIO DE JESUS MD
NPI 1689235723
Student in an Organized Health Care Education/Training Program in Providence, RI

Active since June 27, 2019PECOS Enrolled
825 CHALKSTONE AVE, PROVIDENCE, RI 02908(401) 456-2000 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 26, 2024, Dec 22, 2020 (2 updates tracked since 2020).

About Dr. Adderly Marcell Toribio De Jesus Md NPPES

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

DR. ADDERLY MARCELL TORIBIO DE JESUS MD (NPI 1689235723) is an individual student in an organized health care education/training program in Providence, Rhode Island, licensed in Texas (BP10090517) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with University Medical Center Of El Paso, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1689235723
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ADDERLY MARCELL TORIBIO DE JESUSCredential: MD
Location Address825 CHALKSTONE AVEProvidence, RI 02908-4728
Mailing Address20 Hawthorne St Apt 2Providence, RI 02907-2965 · (401) 428-0160
Phone(401) 456-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 27, 2019
Last NPPES UpdateJune 26, 20242 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
✔ NPI 1689235723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in TX · BP10090517
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedInternal MedicineTaxonomy 207R00000X · License LP04762 (RI)
825 CHALKSTONE AVE, Providence, RI 02908
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Adderly Marcell Toribio De Jesus Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446610372
PECOS Enrollment IDI20260921004258
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 Adderly Toribio De Jesus reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prime Healthcare Services Landmark LLC
12 mi
Hematology & Oncology
219 CASS AVE
Woonsocket, RI 02895
  • Reassigned Medicare billing, Rhode Island enrollment
  • 119 clinicians in this Medicare group
NPI 1518388651 (401) 769-4100

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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
21 services12 patients

Hospital Affiliations CMS Care Compare

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

University Medical Center Of El Paso

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450024
Location4815 Alameda AveEl Paso, TX 79905 · El Paso County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

DR. TODD F ROBERTS MD
Internal Medicine (Medical Oncology)
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 456-6565
DR. WILLIAM ARTHUR YELLE MD
Anesthesiology
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 456-2000
IAN M JACOBSON MD
Emergency Medicine
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (330) 493-4443
PROSPECT CHARTERCARE RWMC, LLC
General Acute Care Hospital
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 456-2000
N PETER LIBBEY M.D.
Pathology (Anatomic Pathology)
825 CHALKSTONE AVE, ROGER WILLIAMS MEDICAL CENTER/PATHOLOGY DEPT.
PROVIDENCE, RI 02908
Providence County (401) 456-2162
GARRICK MARK WHITLOCK CRNA
Nurse Anesthetist, Certified Registered
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 456-2000
VALERIE JEAN ZUERCHER
Social Worker (Clinical)
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 456-4807
MAIMOONA HAROON MEMON MD
Internal Medicine
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 456-2000

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 Adderly Toribio De Jesus's NPI number?

The NPI number for Adderly Toribio De Jesus is 1689235723. It was assigned to this individual provider in the NPPES registry on June 27, 2019.

Where is Adderly Toribio De Jesus located?

Adderly Toribio De Jesus practices at 825 Chalkstone Ave, Providence, RI 02908. The listed phone number is (401) 456-2000.

What is Adderly Toribio De Jesus's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Adderly Toribio De Jesus enrolled in Medicare?

Yes. Adderly Toribio De Jesus is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Adderly Toribio De Jesus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adderly Toribio De Jesus reassigns Medicare benefits to Prime Healthcare Services Landmark LLC (Woonsocket, 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 Adderly Toribio De Jesus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adderly Toribio De Jesus accept?

Health plans from Blue Cross and Blue Shield of Texas list Adderly Toribio De Jesus 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.

Is Adderly Toribio De Jesus affiliated with any hospitals?

According to CMS data, Adderly Toribio De Jesus is affiliated with University Medical Center Of El Paso.

When was this NPI record last updated?

The NPPES record for Adderly Toribio De Jesus was last updated on June 26, 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.