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DR. BREA SHAY PRINDAVILLE M.D.
NPI 1912134529
Dermatology - Pediatric Dermatology in Providence, RI

Active since June 22, 2009PECOS EnrolledAccepts Medicare Assignment
148 W RIVER ST STE 1B, PROVIDENCE, RI 02904(401) 273-9310(401) 273-1270 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 28, 2026, Aug 6, 2024, Jul 26, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Brea Shay Prindaville M.d. NPPES

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

DR. BREA SHAY PRINDAVILLE M.D. (NPI 1912134529) is an individual pediatric dermatology provider in Providence, Rhode Island, licensed in Rhode Island (MD15774) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of New York University School Of Medicine (2009).

NPPES Registry Identity

NPI1912134529
Entity TypeIndividualFemale
Primary Taxonomy207NP0225X
Provider Legal NameDR. BREA SHAY PRINDAVILLECredential: M.D.
Location Address148 W RIVER ST STE 1BProvidence, RI 02904
Mailing Address526 Main St Ste 302Acton, MA 01720-3301 · (978) 371-7010 · Fax (978) 371-0522
Phone(401) 273-9310
Fax(401) 273-1270
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2009
Enumeration DateJune 22, 2009
Last NPPES UpdateApril 28, 20264 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1912134529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatology · Pediatric DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NP0225X
Licenses✔ Licensed in RI · MD15774✔ Licensed in MA · 265523
Definition
A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.
Also ListedDermatologyTaxonomy 207N00000X · License 265523 (MA), MD15774 (RI)
Also ListedPediatricsTaxonomy 208000000X · License 265523 (MA), MD15774 (RI)
148 W RIVER ST STE 1B, Providence, RI 02904
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1153 E Washington StNorth Attleboro, MA 02760-2312 · Phone (508) 699-7546 · Fax (508) 699-7570
Location 21672 S County TrlEast Greenwich, RI 02818 · Phone (401) 885-7546 · Fax (508) 885-6639

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.Insurance ›

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. Brea Shay Prindaville 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 ID7113169327
PECOS Enrollment IDI20160922001582, I20170719002022
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 Reassignments

2

Medicare enrollment records show Brea Prindaville reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dermatology Professionals, LLC
6.6 mi
Dermatology
153 E WASHINGTON ST
North Attleboro, MA 02760
  • Reassigned Medicare billing, Massachusetts enrollment
  • 12 clinicians in this Medicare group
NPI 1992123525 (508) 699-7546
Dermatology Professionals Inc.
14 mi
Dermatology
1672 S COUNTY TRL
East Greenwich, RI 02818
  • Reassigned Medicare billing, Rhode Island enrollment
  • 20 clinicians in this Medicare group
NPI 1902040835 (401) 885-7546

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 02904 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.

Other Providers at the Same Location NPPES 2

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

ALEXANDRA LEONARD MD
Dermatology
148 W RIVER ST STE 1B
PROVIDENCE, RI 02904
Providence County (401) 273-9310
ANNE B BERCOVITCH MD
Dermatology
148 W RIVER ST STE 1B
PROVIDENCE, RI 02904
Providence County (401) 273-9310

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 Brea Prindaville's NPI number?

The NPI number for Brea Prindaville is 1912134529. It was assigned to this individual provider in the NPPES registry on June 22, 2009.

Where is Brea Prindaville located?

Brea Prindaville practices at 148 W River St Ste 1B, Providence, RI 02904. The listed phone number is (401) 273-9310.

What is Brea Prindaville's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Pediatric Dermatology, with taxonomy code 207NP0225X.

Is Brea Prindaville enrolled in Medicare?

Yes. Brea Prindaville 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 organizations bill Medicare for Brea Prindaville's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brea Prindaville reassigns Medicare benefits to 2 organizations: Dermatology Professionals, LLC (North Attleboro, MA) and Dermatology Professionals Inc. (East Greenwich, RI). Each 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 Brea Prindaville's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brea Prindaville accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Brea Prindaville as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brea Prindaville was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.