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KRISTINA MARIE DUARTE MD
NPI 1922076736
Family Medicine in Providence, RI

Active since March 08, 2006PECOS EnrolledAccepts Medicare Assignment
1 RANDALL SQ, PROVIDENCE, RI 02904(401) 274-6339(401) 456-6290 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2023, Apr 14, 2021, Jun 15, 2018 (3 updates tracked since 2018).

About Kristina Marie Duarte Md NPPES

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

KRISTINA MARIE DUARTE MD (NPI 1922076736) is an individual family medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD09763) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Geisel School Of Medicine At Dartmouth (1995).

NPPES Registry Identity

NPI1922076736
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKRISTINA MARIE DUARTECredential: MD
Location Address1 RANDALL SQProvidence, RI 02904
Mailing Address375 Allens AveProvidence, RI 02905-5010 · (401) 444-0400 · Fax (401) 444-0468
Phone(401) 274-6339
Fax(401) 456-6290
Sole ProprietorNo
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 1995
Enumeration DateMarch 8, 2006
Last NPPES UpdateDecember 15, 20233 updates tracked since enumeration
NPPES CertifiedDecember 15, 2023
✔ NPI 1922076736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in RI · MD09763✔ Licensed in MA · 204590
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1 RANDALL SQ, Providence, RI 02904
Open in Google Maps ↗

Other Identifiers 2

Other007059638RI · Medicare Ptan
Medicaid9022202RI

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

Kristina Marie Duarte Md 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 ID1355303736
PECOS Enrollment IDI20041028000343, I20071022000349
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.

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
$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 20

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

PHINA A MAYU NP
Nurse Practitioner (Adult Health)
1 RANDALL SQ
PROVIDENCE, RI 02904
Providence County (401) 274-6339
MAYELIN PACHECO NUNEZ NP
Nurse Practitioner (Family)
1 RANDALL SQ
PROVIDENCE, RI 02904
Providence County (401) 274-6339
STANLEY H. BLOCK MD
Allergy & Immunology
1 RANDALL SQ
PROVIDENCE, RI 02904
Providence County (401) 444-0414
DR. JAMES J YASHAR M.D
Specialist
1 RANDALL SQ
PROVIDENCE, RI 02904
Providence County (140) 196-5777
THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1 RANDALL SQ
PROVIDENCE, RI 02904
Providence County (401) 274-6339
PAUL W WEHBE MD
Pediatrics
1 RANDALL SQ, SUITE 404-406
PROVIDENCE, RI 02904
Providence County (401) 861-5183
CARDIOLOGY CONSULTANTS, LLC
Internal Medicine (Cardiovascular Disease)
1 RANDALL SQ, SUITE 305
PROVIDENCE, RI 02904
Providence County (401) 223-0223
COURTNEY HUNT NP
Nurse Practitioner (Family)
1 RANDALL SQ
PROVIDENCE, RI 02904
Providence County (401) 274-6339

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 Kristina Duarte's NPI number?

The NPI number for Kristina Duarte is 1922076736. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Kristina Duarte located?

Kristina Duarte practices at 1 Randall Sq, Providence, RI 02904. The listed phone number is (401) 274-6339.

What is Kristina Duarte's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kristina Duarte enrolled in Medicare?

Yes. Kristina Duarte 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.

When was this NPI record last updated?

The NPPES record for Kristina Duarte was last updated on December 15, 2023. 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.