PIETER STORM DE KLERK M.D
NPI 1730612490
Internal Medicine - Interventional Cardiology in Providence, RI

Q: What is Pieter De Klerk's NPI number?

The NPI number for Pieter De Klerk is 1730612490. It was assigned to this individual provider in the NPPES registry on April 9, 2017.

Q: What is Pieter De Klerk's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Pieter De Klerk was last updated on April 16, 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.

Active since April 09, 2017PECOS EnrolledAccepts Medicare Assignment

593 EDDY ST, PROVIDENCE, RI 02903(401) 444-5891(401) 444-8158 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 16, 2024, Jul 1, 2020 (2 updates tracked since 2020).

On this page

About Pieter Storm De Klerk M.d NPPES

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

PIETER STORM DE KLERK M.D (NPI 1730612490) is an individual interventional cardiology provider in Providence, Rhode Island, licensed in Rhode Island (MD17152) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Sturdy Memorial Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1730612490

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NamePIETER STORM DE KLERKCredential: M.D

Location Address593 EDDY STProvidence, RI 02903-4923

Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4541

Phone(401) 444-5891

Fax(401) 444-8158

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateApril 9, 2017

Last NPPES UpdateApril 16, 20242 updates tracked since enumeration

NPPES CertifiedApril 16, 2024

✔ NPI 1730612490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in RI · MD17152

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License MD17152 (RI)

593 EDDY ST, Providence, RI 02903

Open in Google Maps ↗

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

Pieter Storm De Klerk M.d 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 ID5597207258

PECOS Enrollment IDI20240610001304

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.

Hospital Affiliations CMS Care Compare 3

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

Sturdy Memorial Hospital

Acute Care Hospitals · Attleboro, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number220008

Location211 Park StreetAttleboro, MA 02703 · Bristol County

Emergency services Birthing friendly

Rhode Island Hospital

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipTribal

CMS Certification Number410007

Location593 Eddy StreetProvidence, RI 02903 · Providence County

Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

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

$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.

DR. KEITH-AUSTIN SCARFO D.O.

Anesthesiology

593 EDDY ST, APC 6
PROVIDENCE, RI 02903

Providence County (401) 444-3777

AILEEN HSUEH

Surgery

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-8450

RHODE ISLAND HOSPITAL

General Acute Care Hospital

593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903

Providence County (401) 444-7585

DR. GA HIE NAM M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-5057

EUGENIE ATALLAH

Psychiatry & Neurology (Neurology)

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 606-2645

BRIAN CAO MD

Student in an Organized Health Care Education/Training Program

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 606-4286

BRET CAULFIELD

Physician Assistant

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-4000

JUNG HO GONG

Student in an Organized Health Care Education/Training Program

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 793-2695

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 Pieter De Klerk's NPI number?

The NPI number for Pieter De Klerk is 1730612490. It was assigned to this individual provider in the NPPES registry on April 9, 2017.

Where is Pieter De Klerk located?

Pieter De Klerk practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-5891.

What is Pieter De Klerk's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Pieter De Klerk enrolled in Medicare?

Yes. Pieter De Klerk 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.

Is Pieter De Klerk affiliated with any hospitals?

According to CMS data, Pieter De Klerk is affiliated with Sturdy Memorial Hospital, Rhode Island Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Pieter De Klerk was last updated on April 16, 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.