THE MIRIAM HOSPITAL
NPI 1831362813
Family Medicine - Adult Medicine in Providence, RI

Active since April 10, 2008
180 CORLISS ST STE C, PROVIDENCE, RI 02904(401) 793-4636(401) 793-4639 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 18, 2026, Dec 10, 2025 (2 updates tracked since 2025).

About The Miriam Hospital NPPES

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

THE MIRIAM HOSPITAL (NPI 1831362813), doing business as The Men's Health Center, is a healthcare organization registered as an adult medicine in Providence, Rhode Island and active in the NPI registry since April 2008. The organization maintains a secondary practice location in Providence and lists Peter K Markell, E Vp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1831362813
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameTHE MIRIAM HOSPITAL
Location Address180 CORLISS ST STE CProvidence, RI 02904-2602
Mailing Address15 La Salle SqProvidence, RI 02903-1814 · Fax (401) 444-5462
Fax(401) 793-4639
Organization SubpartNo
Authorized OfficialPeter K MarkellE Vp & Cfo · (401) 444-7914
Enumeration DateApril 10, 2008
Last NPPES UpdateMarch 18, 20262 updates tracked since enumeration
NPPES CertifiedMarch 18, 2026
✔ NPI 1831362813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedUrologyTaxonomy 208800000X
180 CORLISS ST STE C, Providence, RI 02904

Other Names 1

Doing Business AsThe Men's Health Center

Secondary Practice Location 1

Location 1164 Summit AveProvidence, RI 02906-2853 · Phone (401) 793-4636

Other Identifiers 1

MedicaidTM70395RI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

The Miriam Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to The Miriam Hospital, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 11 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Nurse Practitioner4
Urology4
Clinical Psychologist1
Hematology/Oncology1
Internal Medicine1
Registered Dietitian or Nutrition Professional1

Clinicians, nearest first (12)

Internal Medicine
NPI 1619298379
180 CORLISS ST STE C
Providence, RI 02904
(401) 793-4636
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1124453386
180 CORLISS ST STE C
Providence, RI 02904
(401) 793-4636
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1609643063
180 CORLISS ST STE C
Providence, RI 02904
(401) 793-4636
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1477762706
164 SUMMIT AVE
Providence, RI 02906
(401) 793-4579
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1699339721
164 SUMMIT AVE FL 2
Providence, RI 02906
(401) 793-4636
✔ PECOS✔ Accepts Medicare1.0 mi
Registered Dietitian or Nutrition Professional
NPI 1093853178
164 SUMMIT AVE
Providence, RI 02906
(401) 793-4707
1.0 mi
Hematology/Oncology
NPI 1083678023
164 SUMMIT AVE FAIN BLDING
Providence, RI 02906
(401) 793-4636
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1992166813
164 SUMMIT AVE
Providence, RI 02906
(401) 793-2500
✔ PECOS✔ Accepts Medicare1.0 mi
Urology
NPI 1700129236
2 DUDLEY ST STE 175185
Providence, RI 02905
(401) 421-0710
✔ PECOS✔ Accepts Medicare2.2 mi
Urology
NPI 1114038155
2 DUDLEY ST SUITE 185
Providence, RI 02905
(401) 421-0710
✔ PECOS2.2 mi
Urology
NPI 1699977744
450 VETERANS MEMORIAL PKWY BLDG 14
East Providence, RI 02914
(401) 435-8488
✔ PECOS✔ Accepts Medicare2.8 mi
Clinical Psychologist
NPI 1073836946
420 SCRABBLETOWN RD STE A
North Kingstown, RI 02852
(401) 268-5333
✔ PECOS✔ Accepts Medicare18 mi

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 The Miriam Hospital's NPI number?

The NPI number for The Miriam Hospital is 1831362813. It was assigned to this organization in the NPPES registry on April 10, 2008. The provider is doing business as The Men's Health Center.

Where is The Miriam Hospital located?

The Miriam Hospital is located at 180 Corliss St Ste C, Providence, RI 02904. The listed phone number is (401) 793-4636.

What is The Miriam Hospital's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is The Miriam Hospital enrolled in Medicare?

Yes. The Miriam Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Miriam Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 6 Medicare specialties reassign their Medicare billing to The Miriam Hospital. 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. The largest specialties are Nurse Practitioner (4), Urology (4) and Clinical Psychologist (1). Of these, 3 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for The Miriam Hospital was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.