DR. SAMUEL JAMES RIDOUT M.D.
NPI 1821436163
Psychiatry & Neurology - Psychiatry in Providence, RI

Q: What is Samuel Ridout's NPI number?

The NPI number for Samuel Ridout is 1821436163. It was assigned to this individual provider in the NPPES registry on June 10, 2013. The provider is also known as Dr. Sam Ridout M.D..

Q: What is Samuel Ridout's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Ridout was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 10, 2013PECOS EnrolledAccepts Medicare Assignment

345 BLACKSTONE BLVD, PROVIDENCE, RI 02906(401) 455-6375(401) 455-6497 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 11, 2022, Dec 2, 2015 (2 updates tracked since 2015).

On this page

About Dr. Samuel James Ridout M.d. NPPES

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

DR. SAMUEL JAMES RIDOUT M.D. (NPI 1821436163) is an individual psychiatry provider in Providence, Rhode Island, licensed in Rhode Island (CMD15200) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania State University College Of Medicine (2013).

NPPES Registry Identity

NPI1821436163

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. SAMUEL JAMES RIDOUTCredential: M.D.

Location Address345 BLACKSTONE BLVDProvidence, RI 02906-4800

Mailing Address345 Blackstone BlvdProvidence, RI 02906-4800 · (401) 455-6375 · Fax (401) 455-6497

Phone(401) 455-6375

Fax(401) 455-6497

Sole ProprietorYes

Medical School CMSPennsylvania State University College Of MedicineGraduated 2013

Enumeration DateJune 10, 2013

Last NPPES UpdateFebruary 11, 20222 updates tracked since enumeration

✔ NPI 1821436163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in RI · CMD15200

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

345 BLACKSTONE BLVD, Providence, RI 02906

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Other Names 1

Professional Name (2)Dr. Sam Ridout M.d.

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

Dr. Samuel James Ridout 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 ID3577865245

PECOS Enrollment IDI20170922002318

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 02906 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

$177.03 typical visit price

range $58.57 – $177.03

Typical copayment $44.25 (range $14.64 – $44.25)

Most-billed visit code 99205

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

Most-billed visit code 99213

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.

KEVIN E. BAILL MD & ASSOCIATES, LLC

Clinic/Center

345 BLACKSTONE BLVD
PROVIDENCE, RI 02906

Providence County (917) 447-2138

SHARATH PONNAPPA PUTTICHANDA

Psychiatry & Neurology (Psychiatry)

345 BLACKSTONE BLVD
PROVIDENCE, RI 02906

Providence County (401) 455-6346

MS. JASMINE APPLEBERRY M.S.W., L.I.C.S.W.

Social Worker (Clinical)

345 BLACKSTONE BLVD
PROVIDENCE, RI 02906

Providence County (401) 225-2044

BRITTANY CATHERINE DAWSON FNP-BC

Nurse Practitioner (Family)

345 BLACKSTONE BLVD, MEMORY AND AGING PROGRAM
PROVIDENCE, RI 02906

Providence County (401) 455-6403

CYNTHIA CHEN YANG MD

Psychiatry & Neurology (Psychiatry)

345 BLACKSTONE BLVD
PROVIDENCE, RI 02906

Providence County (401) 455-6373

DR. MICAH BENJAMIN DUGGINS-WARF MD

Psychiatry & Neurology (Psychiatry)

345 BLACKSTONE BLVD
PROVIDENCE, RI 02906

Providence County (716) 803-9249

KATHARINE ANNE PHILLIPS MD

Psychiatry & Neurology (Psychiatry)

345 BLACKSTONE BLVD
PROVIDENCE, RI 02906

Providence County (401) 455-6200

LISA BRAFF SHEA MD

Psychiatry & Neurology (Psychiatry)

345 BLACKSTONE BLVD
PROVIDENCE, RI 02906

Providence County (401) 455-6200

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 Samuel Ridout's NPI number?

The NPI number for Samuel Ridout is 1821436163. It was assigned to this individual provider in the NPPES registry on June 10, 2013. The provider is also known as Dr. Sam Ridout M.D..

Where is Samuel Ridout located?

Samuel Ridout practices at 345 Blackstone Blvd, Providence, RI 02906. The listed phone number is (401) 455-6375.

What is Samuel Ridout's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Samuel Ridout enrolled in Medicare?

Yes. Samuel Ridout 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.

When was this NPI record last updated?

The NPPES record for Samuel Ridout was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.