1. Home
  2. Directory
  3. Rhode Island
  4. Providence
  5. Internal Medicine
  6. NPI Profile

DR. GOFRAN K TARABULSI M.D.
NPI 1881039352
Internal Medicine in Providence, RI

Active since May 09, 2013PECOS EnrolledAccepts Medicare Assignment
101 DUDLEY STREET, SUITE 3352, PROVIDENCE, RI 02905(401) 274-1122(401) 453-7658 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 1, 2024, Aug 14, 2018, Sep 2, 2016 (3 updates tracked since 2016).

About Dr. Gofran K Tarabulsi M.d. NPPES

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

DR. GOFRAN K TARABULSI M.D. (NPI 1881039352) is an individual internal medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD15476) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1881039352
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. GOFRAN K TARABULSICredential: M.D.
Location Address101 DUDLEY STREET, SUITE 3352Providence, RI 02905
Mailing Address101 Dudley Street, Suite 3352Providence, RI 02905-2499 · (401) 274-1122 · Fax (401) 453-7658
Phone(401) 274-1122
Fax(401) 453-7658
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 9, 2013
Last NPPES UpdateAugust 1, 20243 updates tracked since enumeration
NPPES CertifiedAugust 1, 2024
✔ NPI 1881039352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in RI · MD15476
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
101 DUDLEY STREET, Providence, RI 02905
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gofran K Tarabulsi 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 ID7911200563
PECOS Enrollment IDI20180827000041
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.

Medicare Billing Reassignment

Medicare enrollment records show Gofran Tarabulsi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Affinity Physicians LLC
Same address
Anesthesiology
101 DUDLEY STREET, WIH DEPT OF ANESTHESIOLOGY
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 984 clinicians in this Medicare group
NPI 1053038471 (401) 274-1122

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 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 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABIGAIL LEAH SOSCIA APRN
Nurse Practitioner (Family)
101 DUDLEY STREET, WIH NEONATOLOGY/PEDIATRICS
PROVIDENCE, RI 02905
Providence County (401) 274-1122
ERIN DOBSON RNP
Nurse Practitioner
101 DUDLEY STREET
PROVIDENCE, RI 02905
Providence County (401) 274-1100
AFFINITY PHYSICIANS LLC
Anesthesiology
101 DUDLEY STREET, WIH DEPT OF ANESTHESIOLOGY
PROVIDENCE, RI 02905
Providence County (401) 274-1122
MEGAN AULD CRNP
Nurse Practitioner (Neonatal)
101 DUDLEY STREET, WOMEN AND INFANTS HOSPITAL DEPT OF PEDIATRICS
PROVIDENCE, RI 02905
Providence County (401) 274-1122
DR. MARIAM FAYEK MD
Internal Medicine (Gastroenterology)
101 DUDLEY STREET, 3RD FLOOR
PROVIDENCE, RI 02905
Providence County (215) 762-5181
ALLISON ERNESTINE PAYNE DO
Obstetrics & Gynecology (Obstetrics)
101 DUDLEY STREET, WOMEN & INFANTS
PROVIDENCE, RI 02905
Providence County (401) 274-1122
CAYLA YUAVANEE SEDANI MD
Anesthesiology
101 DUDLEY STREET
PROVIDENCE, RI 02905
Providence County (401) 274-1122
DR. SFURTI NATH MBBS
Pediatrics (Neonatal-Perinatal Medicine)
101 DUDLEY STREET
PROVIDENCE, RI 02905
Providence County (401) 274-1122

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 Gofran Tarabulsi's NPI number?

The NPI number for Gofran Tarabulsi is 1881039352. It was assigned to this individual provider in the NPPES registry on May 9, 2013.

Where is Gofran Tarabulsi located?

Gofran Tarabulsi practices at 101 Dudley Street Suite 3352, Providence, RI 02905. The listed phone number is (401) 274-1122.

What is Gofran Tarabulsi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gofran Tarabulsi enrolled in Medicare?

Yes. Gofran Tarabulsi 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.

Which organization bills Medicare for Gofran Tarabulsi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gofran Tarabulsi reassigns Medicare benefits to Affinity Physicians LLC (Providence, RI). The 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 Gofran Tarabulsi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gofran Tarabulsi was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.