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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ELIZABETH A. CONGDON MD
NPI 1811575269
Pediatrics in West Warwick, RI

Active since March 29, 2021PECOS Enrolled
186 PROVIDENCE ST, WEST WARWICK, RI 02893(401) 767-4100 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 23, 2026, Apr 21, 2026, Apr 17, 2026 and 3 more (6 updates tracked since 2021).

About Dr. Elizabeth A. Congdon Md NPPES

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

DR. ELIZABETH A. CONGDON MD (NPI 1811575269) is an individual pediatrics provider in West Warwick, Rhode Island, licensed in Utah (12974651-1205) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1811575269
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. ELIZABETH A. CONGDONCredential: MD
Location Address186 PROVIDENCE STWest Warwick, RI 02893-2508
Mailing Address25 John A Cummings WayWoonsocket, RI 02895-3244 · (401) 767-4100
Phone(401) 767-4100
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 29, 2021
Last NPPES UpdateSeptember 23, 20266 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2026
✔ NPI 1811575269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in UT · 12974651-1205✔ Licensed in RI · MD21313
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.
186 PROVIDENCE ST, West Warwick, RI 02893
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11 River StWakefield, RI 02879-3214 · Phone (401) 767-4100
Location 2360 Kingstown Rd Unit 101Narragansett, RI 02882-3258 · Phone (401) 767-4100
Location 381 N Mario Capecchi DrSalt Lake City, UT 84113-1125 · Phone (801) 662-5700
Location 4450 Clinton StWoonsocket, RI 02895-3207 · Phone (401) 767-4100

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Elizabeth A. Congdon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052795002
PECOS Enrollment IDI20260501000819
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

2

Medicare enrollment records show Elizabeth Congdon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Thundermist Health Center
Same address
Federally Qualified Health Center (FQHC)
186 PROVIDENCE ST
West Warwick, RI 02893
  • Reassigned Medicare billing, Rhode Island enrollment
  • 288 clinicians in this Medicare group
NPI 1376708560 (401) 615-2800
University Of Utah Pediatric Services
2,076 mi
Pediatric Orthopaedic Surgery
9385 S SNOWBIRD CENTER DR
Sandy, UT 84092
  • Reassigned Medicare billing, Utah enrollment
  • 751 clinicians in this Medicare group
NPI 1386257152 (801) 587-7109

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 02893 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 20

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

BERNADETTE LIMIADI WALERYSZAK FNP-C
Nurse Practitioner (Family)
186 PROVIDENCE ST
WEST WARWICK, RI 02893
Kent County (401) 615-2800
JESSICA CARDILLO DOUGLAS FNP
Nurse Practitioner (Family)
186 PROVIDENCE ST
WEST WARWICK, RI 02893
Kent County (401) 615-2800
DR. JENNA WESTERMAN DNP, APRN, FNP-C
Nurse Practitioner (Family)
186 PROVIDENCE ST
WEST WARWICK, RI 02893
Kent County (401) 615-2800
KELLY E ALBRO FNP-BC
Nurse Practitioner
186 PROVIDENCE ST
WEST WARWICK, RI 02893
Kent County (401) 615-2800
LIZA CLAIRE SIMMONS DO
Family Medicine
186 PROVIDENCE ST
WEST WARWICK, RI 02893
Kent County (401) 615-2880
ALLISON J. BURCH NP
Nurse Practitioner (Family)
186 PROVIDENCE ST
WEST WARWICK, RI 02893
Kent County (401) 767-4100
SAGE MUELLER LCSW
Social Worker (Clinical)
186 PROVIDENCE ST
WEST WARWICK, RI 02893
Kent County (401) 615-2800
DR. JEANNETTE LAFERRIERE MD
Family Medicine
186 PROVIDENCE ST
WEST WARWICK, RI 02893
Kent County (401) 615-2800

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 Elizabeth Congdon's NPI number?

The NPI number for Elizabeth Congdon is 1811575269. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Elizabeth Congdon located?

Elizabeth Congdon practices at 186 Providence St, West Warwick, RI 02893. The listed phone number is (401) 767-4100.

What is Elizabeth Congdon's specialty?

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

Is Elizabeth Congdon enrolled in Medicare?

Yes. Elizabeth Congdon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Elizabeth Congdon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Congdon reassigns Medicare benefits to 2 organizations: Thundermist Health Center (West Warwick, RI) and University Of Utah Pediatric Services (Sandy, UT). 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 Elizabeth Congdon'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 Elizabeth Congdon was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.