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CHILDREN'S MEDICAL GROUP
NPI 1932117702
Pediatrics in Providence, RI

Active since August 04, 2006CLIA 41D0894561 · Waiver
100 HIGHLAND AVE, SUITE 201, PROVIDENCE, RI 02906(401) 633-1100(401) 633-0047 Get Directions Write a Review

NPPES record last updated: March 27, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Children's Medical Group NPPES

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

CHILDREN'S MEDICAL GROUP (NPI 1932117702) is a healthcare organization registered as a pediatrics in Providence, Rhode Island and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through February 14, 2027 and lists Robert E Eden, Owner, as its authorized official.

NPPES Registry Identity

NPI1932117702
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameUNIVERSITY PEDIATRICS, INC
Location Address100 HIGHLAND AVE, SUITE 201Providence, RI 02906-2740
Mailing Address100 Highland Ave, Suite 201Providence, RI 02906-2740 · (401) 633-1100 · Fax (401) 633-0047
Phone(401) 633-1100
Fax(401) 633-0047
Organization SubpartNo
Authorized OfficialRobert E EdenOwner · (401) 633-1100
Enumeration DateAugust 4, 2006
Last NPPES UpdateMarch 27, 2014
✔ NPI 1932117702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
100 HIGHLAND AVE, Providence, RI 02906
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Other Names 1

Doing Business AsChildren's Medical Group

Other Identifiers 1

MedicaidUP29391RI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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 41D0894561

Childrens Medical Group · Providence, RI
Active · expires Feb 14, 2027
CLIA Number41D0894561
Laboratory TypePhysician Office
Certificate Effective DateFebruary 15, 2025
Certificate Expiration DateFebruary 14, 2027
Laboratory DirectorRobert E. Eden MD
Laboratory Phone(401) 633-1100
Laboratory LocationChildrens Medical Group100 Highland Avenue Suite 201, Providence, RI 02906
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

MISS VORAWAN UMMARITCHOT M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
100 HIGHLAND AVE, SUITE 203
PROVIDENCE, RI 02906
Providence County (401) 351-7100
STEPHANIE SACHS
Massage Therapist
100 HIGHLAND AVE, SUITE 102
PROVIDENCE, RI 02906
Providence County (401) 305-5280
PETRO KARANASIAS MD
Psychiatry & Neurology (Neurology)
100 HIGHLAND AVE, SUITE 303
PROVIDENCE, RI 02906
Providence County (401) 272-1883
JONAH M LICHT MD
Internal Medicine (Nephrology)
100 HIGHLAND AVE
PROVIDENCE, RI 02906
Providence County (401) 277-9729
DR. WILLIAM MASON STONE M.D.
Psychiatry & Neurology (Neurology)
100 HIGHLAND AVE
PROVIDENCE, RI 02906
Providence County (401) 351-3312
LYNN H SOMMERVILLE MD PHD
Internal Medicine
100 HIGHLAND AVE, #302
PROVIDENCE, RI 02906
Providence County (401) 331-8338
SMITH INTERNAL MEDICINE GROUP LTD
Internal Medicine
100 HIGHLAND AVE, SUITE 203
PROVIDENCE, RI 02906
Providence County (401) 521-2002
MARILYN NICOLLE CASTRO LMHC-A, M. OF EDU
Counselor
100 HIGHLAND AVE
PROVIDENCE, RI 02906
Providence County (401) 383-5051

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 University Pediatrics, Inc's NPI number?

The NPI number for University Pediatrics, Inc is 1932117702. It was assigned to this organization in the NPPES registry on August 4, 2006. The provider is doing business as Children's Medical Group.

Where is University Pediatrics, Inc located?

University Pediatrics, Inc is located at 100 Highland Ave Suite 201, Providence, RI 02906. The listed phone number is (401) 633-1100.

What is University Pediatrics, Inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does University Pediatrics, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D0894561) is associated with this NPI, valid through February 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does University Pediatrics, Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list University Pediatrics, Inc 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 University Pediatrics, Inc was last updated on March 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.