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ELITE MEDICAL CENTER LLC
NPI 1902557366
Nurse Practitioner - Primary Care in North Providence, RI

Active since January 17, 2022CLIA 41D2262516 · Waiver
1515 SMITH ST STE A, NORTH PROVIDENCE, RI 02911(401) 490-9550(401) 490-9221 Get Directions Write a Review

NPPES record last updated: January 17, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elite Medical Center Llc NPPES

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

ELITE MEDICAL CENTER LLC (NPI 1902557366) is a healthcare organization registered as a primary care in North Providence, Rhode Island and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through June 14, 2028 and lists Oluseyi Abioye-akanji, Owner, as its authorized official.

NPPES Registry Identity

NPI1902557366
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameELITE MEDICAL CENTER LLC
Location Address1515 SMITH ST STE ANorth Providence, RI 02911-2947
Mailing Address1515 Smith St Ste ANorth Providence, RI 02911-2947 · (401) 490-9550 · Fax (401) 490-9221
Phone(401) 490-9550
Fax(401) 490-9221
Organization SubpartNo
Authorized OfficialOluseyi Abioye-akanjiOwner · (401) 490-9550
Enumeration DateJanuary 17, 2022
NPPES CertifiedJanuary 17, 2022
✔ NPI 1902557366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedHealth and Wellness CoachTaxonomy 171400000X
1515 SMITH ST STE A, North Providence, RI 02911
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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)

Elite Medical Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Elite Medical Center LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Oluseyi Abioye Akanji, DNP
Nurse Practitioner
NPI 1710309349
1515 SMITH ST STE A
North Providence, RI 02911
(401) 490-9550
✔ PECOS✔ Accepts MedicareSame address
Fatima Khadar, NP
Nurse Practitioner
NPI 1265612725
1070 N MAIN ST
Providence, RI 02904
(401) 454-3574
✔ PECOS2.9 mi
Candace Carmichael
Nurse Practitioner
NPI 1811865439
132 OLD RIVER RD STE 108
Lincoln, RI 02865
(401) 390-0338
✔ PECOS✔ Accepts Medicare5.9 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 41D2262516

Elite Medical Center LLC · North Providence, RI
Active · expires Jun 14, 2028
CLIA Number41D2262516
Laboratory TypePractitioner Other
Certificate Effective DateJune 15, 2026
Certificate Expiration DateJune 14, 2028
Laboratory DirectorOluseyi G Abioye-Akanji
Laboratory Phone(401) 490-9550
Laboratory LocationElite Medical Center LLC1515 Smith St Ste A, North Providence, RI 02911
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Elite Medical Center LLC's NPI number?

The NPI number for Elite Medical Center LLC is 1902557366. It was assigned to this organization in the NPPES registry on January 17, 2022.

Where is Elite Medical Center LLC located?

Elite Medical Center LLC is located at 1515 Smith St Ste A, North Providence, RI 02911. The listed phone number is (401) 490-9550.

What is Elite Medical Center LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Elite Medical Center LLC enrolled in Medicare?

Yes. Elite Medical Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elite Medical Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Elite Medical Center LLC. 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Elite Medical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D2262516) is associated with this NPI, valid through June 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Elite Medical Center LLC was last updated on January 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.