INTEGRATED WOUND CARE RHODE ISLAND PLLC
NPI 1871063891
General Practice in Providence, RI

Active since December 03, 2018
50 MAUDE ST, PROVIDENCE, RI 02908(732) 451-4318 Get Directions Write a Review

NPPES record last updated: March 28, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Integrated Wound Care Rhode Island Pllc NPPES

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

INTEGRATED WOUND CARE RHODE ISLAND PLLC (NPI 1871063891) is a healthcare organization registered as a general practice in Providence, Rhode Island and active in the NPI registry since December 2018. The organization lists Diane Lusas, Member, as its authorized official.

NPPES Registry Identity

NPI1871063891
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameINTEGRATED WOUND CARE RHODE ISLAND PLLC
Location Address50 MAUDE STProvidence, RI 02908-4325
Mailing Address492c Cedar Ln Ste 514Teaneck, NJ 07666-1713
Organization SubpartNo
Authorized OfficialDiane LusasMember · (732) 451-4318
Enumeration DateDecember 3, 2018
Last NPPES UpdateMarch 28, 2019
✔ NPI 1871063891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
50 MAUDE ST, Providence, RI 02908

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)

Integrated Wound Care Rhode Island Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Integrated Wound Care Rhode Island PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

General Practice
NPI 1336571843
50 MAUDE ST
Providence, RI 02908
(212) 734-6621
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1467041020
544 PLEASANT ST
Pawtucket, RI 02860
(954) 399-4673
✔ PECOS✔ Accepts Medicare3.3 mi
Nurse Practitioner
NPI 1164052478
333 SCHOOL ST # 112
Pawtucket, RI 02860
(401) 726-9790
✔ PECOS✔ Accepts Medicare3.6 mi
Nurse Practitioner
NPI 1699643726
132 OLD RIVER RD STE 108
Lincoln, RI 02865
(401) 723-9250
✔ PECOS6.9 mi
Nurse Practitioner
NPI 1841925633
55 LONG ST
Warwick, RI 02886
(401) 215-4921
✔ PECOS9.7 mi
Nurse Practitioner
NPI 1760082366
313 FRANKLIN ST
Wrentham, MA 02093
(508) 577-8234
✔ PECOS✔ Accepts Medicare17 mi
General Surgery
NPI 1730475658
34 MIDROCKS DR
Norwalk, CT 06851
(732) 451-4318
✔ PECOS✔ Accepts Medicare113 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 Integrated Wound Care Rhode Island PLLC's NPI number?

The NPI number for Integrated Wound Care Rhode Island PLLC is 1871063891. It was assigned to this organization in the NPPES registry on December 3, 2018.

Where is Integrated Wound Care Rhode Island PLLC located?

Integrated Wound Care Rhode Island PLLC is located at 50 Maude St, Providence, RI 02908. The listed phone number is (732) 451-4318.

What is Integrated Wound Care Rhode Island PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Integrated Wound Care Rhode Island PLLC enrolled in Medicare?

Yes. Integrated Wound Care Rhode Island PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integrated Wound Care Rhode Island PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Integrated Wound Care Rhode Island PLLC. 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 (5), General Practice (1) and General Surgery (1). Of these, 1 practice at this address and 5 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 Integrated Wound Care Rhode Island PLLC was last updated on March 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.