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ROGER NILES MENNILLO MD
NPI 1730155482
Pediatrics in Warwick, RI

Active since February 23, 2006PECOS Enrolled
176 TOLL GATE RD, SUITE 101, WARWICK, RI 02886(401) 737-9270(401) 739-6413 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 4, 2024, Feb 3, 2021 (2 updates tracked since 2021).

About Roger Niles Mennillo Md NPPES

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

ROGER NILES MENNILLO MD (NPI 1730155482) is an individual pediatrics provider in Warwick, Rhode Island, licensed in Rhode Island (MD09221) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730155482
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameROGER NILES MENNILLOCredential: MD
Location Address176 TOLL GATE RD, SUITE 101Warwick, RI 02886-4482
Mailing Address10 Davol Sq, Suite 400Providence, RI 02903-4754 · (401) 421-4000 · Fax (401) 272-1456
Phone(401) 737-9270
Fax(401) 739-6413
Sole ProprietorNo
Enumeration DateFebruary 23, 2006
Last NPPES UpdateApril 4, 20242 updates tracked since enumeration
NPPES CertifiedApril 4, 2024
✔ NPI 1730155482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in RI · MD09221
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, Warwick, RI 02886
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Other Identifiers 1

MedicaidRM51805RI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roger Niles Mennillo 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.

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 11

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

RAYMOND PAUL ZARLENGO MD
Pediatrics
176 TOLL GATE RD, SUITE 101
WARWICK, RI 02886
Kent County (401) 737-9240
MR. ANTOINE F O HADAMARD MD
Internal Medicine (Gastroenterology)
176 TOLL GATE RD, #302
WARWICK, RI 02886
Kent County (401) 738-5060
HENRY E LAURELLI M.D.
Neurological Surgery
176 TOLL GATE RD, SUITE 203
WARWICK, RI 02886
Kent County (401) 739-4988
DR. NABIL S ZAHREDDINE M.D.
Internal Medicine
176 TOLL GATE RD, UNIT A
WARWICK, RI 02886
Kent County (401) 732-5600
LAURA DAWSON MD
Pediatrics
176 TOLL GATE RD, SUITE 101
WARWICK, RI 02886
Kent County (401) 737-9240
OCEAN STATE NEUROSURGERY, LLC
Neurological Surgery
176 TOLL GATE RD, SUITE 203
WARWICK, RI 02886
Kent County (401) 739-4988
CYNTHIA M. LOVER LICSW
Social Worker (Clinical)
176 TOLL GATE RD
WARWICK, RI 02886
Kent County (401) 737-9240
MICHELLE R DAIR RNP
Nurse Practitioner (Family)
176 TOLL GATE RD, SUITE 101
WARWICK, RI 02886
Kent County (401) 737-9242

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 Roger Mennillo's NPI number?

The NPI number for Roger Mennillo is 1730155482. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Roger Mennillo located?

Roger Mennillo practices at 176 Toll Gate Rd Suite 101, Warwick, RI 02886. The listed phone number is (401) 737-9270.

What is Roger Mennillo's specialty?

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

Is Roger Mennillo enrolled in Medicare?

Yes. Roger Mennillo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Roger Mennillo was last updated on April 4, 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.