DR. CARLA ALEXIS DE VENECIA M.D.
NPI 1902167885
Radiology - Diagnostic Radiology in Warwick, RI

Active since June 06, 2012PECOS EnrolledAccepts Medicare Assignment
83.83/100
CMS Quality Rating
125 METRO CENTER BLVD STE 2000, WARWICK, RI 02886(401) 921-9202(401) 921-9212 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 22, 2020, Oct 27, 2020 (2 updates tracked since 2020).

About Dr. Carla Alexis De Venecia M.d. NPPES

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

DR. CARLA ALEXIS DE VENECIA M.D. (NPI 1902167885) is an individual diagnostic radiology provider in Warwick, Rhode Island, licensed in New Hampshire (16998) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Westerly Hospital, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2009).

NPPES Registry Identity

NPI1902167885
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. CARLA ALEXIS DE VENECIACredential: M.D.
Location Address125 METRO CENTER BLVD STE 2000Warwick, RI 02886-1785
Mailing Address125 Metro Center Blvd., Suite 2000Warwick, RI 02886-1785 · (401) 921-9202 · Fax (603) 668-0164
Fax(401) 921-9212
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2009
Enumeration DateJune 6, 2012
Last NPPES UpdateDecember 22, 20202 updates tracked since enumeration
NPPES CertifiedDecember 22, 2020
NPI 1902167885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in NH · 16998 Licensed in RI · MD17272 Licensed in MA · 285931
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
125 METRO CENTER BLVD STE 2000, Warwick, RI 02886

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Carla Alexis De Venecia 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 ID4082921408
PECOS Enrollment IDI20201216002808, I20221208001764
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.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
600 services600 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
598 services598 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
446 services446 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
446 services446 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
117 services110 patients
Complete ultrasound scan of 1 breast 76641
A complete ultrasound scan of one breast is a non-invasive imaging test that uses sound waves to create detailed images of the inside of your breast. It helps in detecting any abnormalities or changes, ensuring your breast health.
112 services112 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Westerly Hospital

Acute Care Hospitals · Westerly, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410013
Location25 Wells StreetWesterly, RI 02891 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02886 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80
Improvement Activities40
Cost82.79

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.

Radiology (Diagnostic Radiology)
125 METRO CENTER BLVD STE 2000
WARWICK, RI 02886
Radiology (Diagnostic Radiology)
125 METRO CENTER BLVD STE 2000
WARWICK, RI 02886
Radiology (Diagnostic Radiology)
125 METRO CENTER BLVD STE 2000
WARWICK, RI 02886
Radiology (Diagnostic Radiology)
125 METRO CENTER BLVD STE 2000
WARWICK, RI 02886
Physician Assistant
125 METRO CENTER BLVD STE 2000
WARWICK, RI 02886
Radiology (Diagnostic Radiology)
125 METRO CENTER BLVD STE 2000
WARWICK, RI 02886
Radiology (Diagnostic Radiology)
125 METRO CENTER BLVD STE 2000
WARWICK, RI 02886
Radiology (Diagnostic Radiology)
125 METRO CENTER BLVD STE 2000
WARWICK, RI 02886

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 Carla De Venecia's NPI number?

The NPI number for Carla De Venecia is 1902167885. It was assigned to this individual provider in the NPPES registry on June 6, 2012.

Where is Carla De Venecia located?

Carla De Venecia practices at 125 Metro Center Blvd Ste 2000, Warwick, RI 02886. The listed phone number is (401) 921-9202.

What is Carla De Venecia's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Carla De Venecia enrolled in Medicare?

Yes. Carla De Venecia 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.

Is Carla De Venecia affiliated with any hospitals?

According to CMS data, Carla De Venecia is affiliated with Westerly Hospital.

When was this NPI record last updated?

The NPPES record for Carla De Venecia was last updated on December 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.