MDRI LLC
NPI 1922887157
Clinic/Center - Primary Care in East Greenwich, RI
About Mdri Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MDRI LLC (NPI 1922887157), doing business as Blackstone Valley Medicine, is a healthcare organization registered as a primary care in East Greenwich, Rhode Island and active in the NPI registry since September 2023. The organization holds 3 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Julie E. Hetrick, Nurse Adminstrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 4
Secondary Practice Locations 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mdri Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Mdri LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (17)
East Greenwich, RI 02818
East Greenwich, RI 02818
East Greenwich, RI 02818
East Greenwich, RI 02818
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 3
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 41D2325671
Mdri Dba Johnston Urgent Care · Johnston, RICertificate of Waiver 41D2325692
Mdri Dba Cherry Hill Medicine · Johnston, RICertificate of Waiver 41D2296887
Mdri LLC · Lincoln, RIFrequently 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 Mdri LLC's NPI number?
The NPI number for Mdri LLC is 1922887157. It was assigned to this organization in the NPPES registry on September 26, 2023. The provider is doing business as Blackstone Valley Medicine, Cherry Hill Medicine, Greenwich Bay Medicine and Johnston Urgent Care.
Where is Mdri LLC located?
Mdri LLC is located at 1407 S County Trl Ste 432, East Greenwich, RI 02818. The listed phone number is (401) 398-0288.
What is Mdri LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Mdri LLC enrolled in Medicare?
Yes. Mdri LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mdri LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 6 Medicare specialties reassign their Medicare billing to Mdri 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. The largest specialties are Internal Medicine (6), Nurse Practitioner (6) and Family Practice (2). Of these, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mdri LLC hold CLIA laboratory certificates?
Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Mdri LLC 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.
# Mdri Llc · NPI 1922887157
Primary Care organization in East Greenwich, Rhode Island. Organization record, active in the CMS NPPES registry since September 26, 2023.
## Identity
- **NPI:** 1922887157 (Entity type: Organization)
- **Enumerated:** September 26, 2023
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** Blackstone Valley Medicine (Doing Business As); Cherry Hill Medicine (Doing Business As); Greenwich Bay Medicine (Doing Business As); and 1 more
- **Organization subpart:** No
- **Authorized official:** Julie Hetrick, NURSE ADMINSTRATOR
## Practice location
- **Address:** 1407 S COUNTY TRL STE 432, East Greenwich, RI 02818-1679
- **Phone:** (401) 398-0288 · **Fax:** (401) 471-7365
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 17 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (6), Nurse Practitioner (6), Family Practice (2); 4 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 28, 2026
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1922887157) · Data from the CMS NPPES public registry.