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PAUL WILLIAM RODERICK M.D.
NPI 1831183904
Internal Medicine - Gastroenterology in Cranston, RI

Active since September 06, 2005PECOS Enrolled
1150 RESERVOIR AVE, SUITE 201, CRANSTON, RI 02920(401) 943-1300(401) 946-8480 Get Directions Write a Review

NPPES record last updated: March 24, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Paul William Roderick M.d. NPPES

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

PAUL WILLIAM RODERICK M.D. (NPI 1831183904) is an individual gastroenterology provider in Cranston, Rhode Island, licensed in Rhode Island (RI5529) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831183904
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NamePAUL WILLIAM RODERICKCredential: M.D.
Location Address1150 RESERVOIR AVE, SUITE 201Cranston, RI 02920-6068
Mailing Address1150 Reservoir Ave, Suite 201Cranston, RI 02920-6068 · (401) 943-1300 · Fax (401) 946-8480
Phone(401) 943-1300
Fax(401) 946-8480
Sole ProprietorNo
Enumeration DateSeptember 6, 2005
Last NPPES UpdateMarch 24, 2010
✔ NPI 1831183904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in RI · RI5529
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1150 RESERVOIR AVE, Cranston, RI 02920
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Other Identifiers 4

MedicaidIM02288RI
Medicare PIN007000232RI
Medicare ID-Type Unspecified007000232RI
Medicare UPIND87158RI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul William Roderick M.d. 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 02920 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.

GEORGE LYMAN POWERS M.D.
Internal Medicine (Gastroenterology)
1150 RESERVOIR AVE, SUITE 201
CRANSTON, RI 02920
Providence County (401) 943-1300
ROBERT WOLFGANG D.O.
Internal Medicine (Gastroenterology)
1150 RESERVOIR AVE, SUITE 201
CRANSTON, RI 02920
Providence County (401) 943-1300
WILLIAM F COSCINA MD
Radiology (Diagnostic Radiology)
1150 RESERVOIR AVE
CRANSTON, RI 02920
Providence County (401) 943-1454
MS. TONI M PANCIERA ANP
Nurse Practitioner (Adult Health)
1150 RESERVOIR AVE, SUITE 9438769103
CRANSTON, RI 02920
Providence County (401) 943-8662
GARDEN CITY TREATMENT CENTER, INC.
Emergency Medicine (Emergency Medical Services)
1150 RESERVOIR AVE, #100
CRANSTON, RI 02920
Providence County (401) 946-2400
DR. EDWARD L CULLEN M.D.
Emergency Medicine (Emergency Medical Services)
1150 RESERVOIR AVE, #100
CRANSTON, RI 02920
Providence County (401) 946-2400
DR. DOMINADOR Q FALGUERA MD
Emergency Medicine (Emergency Medical Services)
1150 RESERVOIR AVE
CRANSTON, RI 02920
Providence County (401) 946-2400
DR. DENNIS J ROMANO MD
Emergency Medicine (Emergency Medical Services)
1150 RESERVOIR AVE
CRANSTON, RI 02920
Providence County (401) 946-2400

Frequently Asked Questions

What is Paul Roderick's NPI number?

The NPI number assigned to this healthcare provider is 1831183904, enumerated as an "individual" on September 06, 2005.

Where is the provider located?

The provider is located at 1150 RESERVOIR AVE SUITE 201 CRANSTON, RI 02920 and the phone number is (401) 943-1300.

What is the provider's specialty?

Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.

What insurance does Paul Roderick accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.