1. Home
  2. Directory
  3. Rhode Island
  4. Warwick
  5. Pediatrics
  6. NPI Profile

DR. MARY HELEN LANNING COUGHENOUR MD
NPI 1720668965
Pediatrics in Warwick, RI

Active since April 12, 2021PECOS Enrolled
176 TOLL GATE RD STE 101, WARWICK, RI 02886(401) 737-9240(401) 739-6413 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 3, 2025, May 15, 2025, Mar 19, 2025 and 3 more (6 updates tracked since 2021).

About Dr. Mary Helen Lanning Coughenour Md NPPES

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

DR. MARY HELEN LANNING COUGHENOUR MD (NPI 1720668965) is an individual pediatrics provider in Warwick, Rhode Island, licensed in Rhode Island (MD20636) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720668965
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MARY HELEN LANNING COUGHENOURCredential: MD
Location Address176 TOLL GATE RD STE 101Warwick, RI 02886-4479
Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4541 · (401) 444-6779 · Fax (401) 444-6912
Phone(401) 737-9240
Fax(401) 739-6413
Sole ProprietorNo
Enumeration DateApril 12, 2021
Last NPPES UpdateJune 3, 20256 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
✔ NPI 1720668965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in RI · MD20636✔ Licensed in NY · 328259
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
176 TOLL GATE RD STE 101, Warwick, RI 02886
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)

Dr. Mary Helen Lanning Coughenour Md 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 Reassignments

3

Medicare enrollment records show Mary Helen Coughenour reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Coastal Medical Physicians, Inc.
8.9 mi
Internal Medicine
15 LASALLE SQUARE
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 268 clinicians in this Medicare group
NPI 1780273540 (401) 444-4383
University Of Rochester
330 mi
General Practice
625 ELMWOOD AVE, BOX 683
Rochester, NY 14620
  • Reassigned Medicare billing, New York enrollment
  • 1,624 clinicians in this Medicare group
NPI 1982787537 (585) 275-5022
Pediatric Group Univ Of Rochester
330 mi
Pediatric Hematology-Oncology
601 ELMWOOD AVE
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 88 clinicians in this Medicare group
NPI 1083271787 (585) 275-2981

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02886 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 4

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

HARAN ASHER MENNILLO MD
Pediatrics
176 TOLL GATE RD STE 101
WARWICK, RI 02886
Kent County (401) 737-9240
JULIANA MARIE VINCENT MD
Pediatrics
176 TOLL GATE RD STE 101
WARWICK, RI 02886
Kent County (401) 737-9240
MAUREEN LYNNE MCKENNA M.D.
Pediatrics
176 TOLL GATE RD STE 101
WARWICK, RI 02886
Kent County (401) 737-9240
JILLIAN HENRY N.P.
Nurse Practitioner
176 TOLL GATE RD STE 101
WARWICK, RI 02886
Kent County (401) 737-9240

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 Mary Helen Coughenour's NPI number?

The NPI number for Mary Helen Coughenour is 1720668965. It was assigned to this individual provider in the NPPES registry on April 12, 2021.

Where is Mary Helen Coughenour located?

Mary Helen Coughenour practices at 176 Toll Gate Rd Ste 101, Warwick, RI 02886. The listed phone number is (401) 737-9240.

What is Mary Helen Coughenour's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mary Helen Coughenour enrolled in Medicare?

Yes. Mary Helen Coughenour is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Helen Coughenour's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Helen Coughenour reassigns Medicare benefits to 3 organizations: Coastal Medical Physicians, Inc. (Providence, RI), University Of Rochester (Rochester, NY) and Pediatric Group Univ Of Rochester (Rochester, NY). Each 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 Mary Helen Coughenour'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 Mary Helen Coughenour was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.