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PROVIDENCE CARDIOLOGY INC
NPI 1790856888
Internal Medicine - Cardiovascular Disease in Providence, RI

Active since November 13, 2006
1 RANDALL SQ, SUITE 305, PROVIDENCE, RI 02904(401) 521-0700(401) 521-0906 Get Directions Write a Review

NPPES record last updated: April 3, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Providence Cardiology Inc NPPES

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

PROVIDENCE CARDIOLOGY INC (NPI 1790856888) is a healthcare organization registered as a cardiovascular disease in Providence, Rhode Island and active in the NPI registry since November 2006. The organization lists Jack Hug Klie, President, as its authorized official.

NPPES Registry Identity

NPI1790856888
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePROVIDENCE CARDIOLOGY INC
Location Address1 RANDALL SQ, SUITE 305Providence, RI 02904-2709
Mailing Address1 Randall Sq, Suite 305Providence, RI 02904-2709 · (401) 521-0700 · Fax (401) 521-0906
Phone(401) 521-0700
Fax(401) 521-0906
Organization SubpartNo
Authorized OfficialJack Hug KliePresident · (401) 521-0700
Enumeration DateNovember 13, 2006
Last NPPES UpdateApril 3, 2009
✔ NPI 1790856888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in RI · 4568
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1 RANDALL SQ, Providence, RI 02904
Open in Google Maps ↗

Other Identifiers 5

Medicaid9002630RI
Other001218RI · Blue Chip
Medicare PIN069002630RI
Other849RI · Blue Cross
Medicare UPINC90497

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Providence Cardiology Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Providence Cardiology Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jack Klie, MD
Cardiovascular Disease (Cardiology)
NPI 1992876080
1 RANDALL SQ SUITE 305
Providence, RI 02904
(401) 521-0700
✔ PECOS✔ Accepts MedicareSame address

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

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 Providence Cardiology Inc's NPI number?

The NPI number for Providence Cardiology Inc is 1790856888. It was assigned to this organization in the NPPES registry on November 13, 2006.

Where is Providence Cardiology Inc located?

Providence Cardiology Inc is located at 1 Randall Sq Suite 305, Providence, RI 02904. The listed phone number is (401) 521-0700.

What is Providence Cardiology Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Providence Cardiology Inc enrolled in Medicare?

Yes. Providence Cardiology Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Cardiology Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Providence Cardiology Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Providence Cardiology Inc was last updated on April 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.