SADIE ELISSEOU MD
NPI 1699090902
Internal Medicine in Providence, RI

Active since March 30, 2010PECOS EnrolledAccepts Medicare Assignment
830 CHALKSTONE AVE, PROVIDENCE, RI 02908(401) 273-7100 Get Directions Write a Review

NPPES record last updated: May 18, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sadie Elisseou Md NPPES

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

SADIE ELISSEOU MD (NPI 1699090902) is an individual internal medicine provider in Providence, Rhode Island, licensed in Connecticut (051748) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and is a graduate of Warren Alpert Medical School Of Brown University (2010).

NPPES Registry Identity

NPI1699090902
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSADIE ELISSEOUCredential: MD
Location Address830 CHALKSTONE AVEProvidence, RI 02908-4734
Mailing Address830 Chalkstone AveProvidence, RI 02908-4734 · (401) 273-7100
Sole ProprietorYes
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 2010
Enumeration DateMarch 30, 2010
Last NPPES UpdateMay 18, 2015
✔ NPI 1699090902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 051748
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.
830 CHALKSTONE AVE, Providence, RI 02908

Accepted Insurance

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

Sadie Elisseou 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 ID1557598778
PECOS Enrollment IDI20260304003084
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 Sadie Elisseou reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
2014 WASHINGTON STREET
Newton, MA 02462
  • Reassigned Medicare billing, Massachusetts enrollment
  • 992 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 3

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

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02908 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
$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 20

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

Social Worker (Clinical)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Social Worker (Clinical)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Nurse Practitioner (Acute Care)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Dietitian, Registered
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Registered Nurse
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Social Worker (Clinical)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Registered Nurse (Psychiatric/Mental Health)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Physical Therapist
830 CHALKSTONE AVE
PROVIDENCE, RI 02908

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 Sadie Elisseou's NPI number?

The NPI number for Sadie Elisseou is 1699090902. It was assigned to this individual provider in the NPPES registry on March 30, 2010.

Where is Sadie Elisseou located?

Sadie Elisseou practices at 830 Chalkstone Ave, Providence, RI 02908. The listed phone number is (401) 273-7100.

What is Sadie Elisseou's specialty?

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

Is Sadie Elisseou enrolled in Medicare?

Yes. Sadie Elisseou 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 Sadie Elisseou's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sadie Elisseou reassigns Medicare benefits to Mass General Brigham Medical Group Suburban Massachusetts Inc (Newton, MA). 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 Sadie Elisseou's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sadie Elisseou accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Sadie Elisseou 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 Sadie Elisseou affiliated with any hospitals?

According to CMS data, Sadie Elisseou is affiliated with Massachusetts General Hospital, Newton-Wellesley Hospital and Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for Sadie Elisseou was last updated on May 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.