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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: August 23, 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.

THOMAS HENRY MCGREEN M.D.
Internal Medicine (Gastroenterology)
1150 RESERVOIR AVE, SUITE 201
CRANSTON, RI 02920
Providence County (401) 943-1300
DR. ROBERT L GRAVES D.O.
Internal Medicine
1150 RESERVOIR AVE, SUITE 304
CRANSTON, RI 02920
Providence County (401) 942-3330
DR. ROBERT JOHN BIERWIRTH M.D.
Internal Medicine (Gastroenterology)
1150 RESERVOIR AVE, SUITE 201
CRANSTON, RI 02920
Providence County (401) 943-1300
DR. MICHAEL LEE JACOBS PT, DPT
Physical Therapist
1150 RESERVOIR AVE, SUITE 103
CRANSTON, RI 02920
Providence County (401) 942-2625
DR. JOSEPH N DERUOSI MD
Emergency Medicine (Emergency Medical Services)
1150 RESERVOIR AVE
CRANSTON, RI 02920
Providence County (401) 946-2400
DR. JAMES ROY BONNER M.D.
Pediatrics
1150 RESERVOIR AVE, SUITE 205
CRANSTON, RI 02920
Providence County (401) 943-9222
ANITA OFORIWAA OBENG APRN
Nurse Practitioner (Psychiatric/Mental Health)
1150 RESERVOIR AVE
CRANSTON, RI 02920
Providence County (401) 259-0340
RAYMOND A LAMBERT III
Counselor (Mental Health)
1150 RESERVOIR AVE
CRANSTON, RI 02920
Providence County (401) 259-0340

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 Paul Roderick's NPI number?

The NPI number for Paul Roderick is 1831183904. It was assigned to this individual provider in the NPPES registry on September 6, 2005.

Where is Paul Roderick located?

Paul Roderick practices at 1150 Reservoir Ave Suite 201, Cranston, RI 02920. The listed phone number is (401) 943-1300.

What is Paul Roderick's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Paul Roderick enrolled in Medicare?

Yes. Paul Roderick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Paul Roderick was last updated on March 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.