Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAMES HARRY ABERNATHY III MD
NPI 1942257217
Anesthesiology in Providence, RI

Q: What is James Abernathy's NPI number?

The NPI number for James Abernathy is 1942257217. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Q: What is James Abernathy's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for James Abernathy was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.

Active since May 30, 2006PECOS Enrolled

74.39/100

CMS Quality Rating

593 EDDY ST, PROVIDENCE, RI 02903(401) 444-5172(401) 444-5090 Get Directions Write a Review

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

Record update history: Sep 17, 2026, May 20, 2026, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

On this page

About James Harry Abernathy Iii Md NPPES

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

JAMES HARRY ABERNATHY III MD (NPI 1942257217) is an individual anesthesiology provider in Providence, Rhode Island, licensed in Rhode Island (MD21201) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1942257217

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameJAMES HARRY ABERNATHY IIICredential: MD

Location Address593 EDDY STProvidence, RI 02903-4923

Mailing Address15 La Salle SqProvidence, RI 02903-1814 · (401) 444-6779 · Fax (401) 444-6912

Phone(401) 444-5172

Fax(401) 444-5090

Sole ProprietorNo

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2001

Enumeration DateMay 30, 2006

Last NPPES UpdateSeptember 17, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2026

✔ NPI 1942257217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

Licenses✔ Licensed in RI · MD21201✔ Licensed in MD · D84043

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

593 EDDY ST, Providence, RI 02903

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Secondary Practice Locations 2

Location 11800 Orleans St # 6208Baltimore, MD 21287-0010 · Phone (410) 955-7519 · Fax (410) 955-0994

Location 2101 Dudley StreetProvidence, RI 02905 · Phone (401) 274-1122 · Fax (401) 453-7666

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 (PECOS)

James Harry Abernathy Iii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860434198

PECOS Enrollment IDI20170929000911, I20260610004220

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

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

Lifespan Physician Group, Inc.

0.1 mi

Anesthesiology

593 EDDY ST
Providence, RI 02903

Reassigned Medicare billing, Rhode Island enrollment
112 clinicians in this Medicare group

NPI 1053782466 (401) 444-5172

Johns Hopkins University

301 mi

Ophthalmology

4692 MILLENNIUM DRIVE, SUITE 200
Belcamp, MD 21017

Reassigned Medicare billing, Maryland enrollment
4,483 clinicians in this Medicare group

NPI 1376342774 (410) 000-0000

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of artery tube for blood sampling or infusion through skin 36620

This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.

28 services28 patients

Anesthesia for procedure to assess heart electrical activity 00537

Anesthesia for a procedure to assess heart electrical activity helps ensure comfort and relaxation. It involves administering medication that either numbs a specific area or makes you sleep temporarily. This allows doctors to safely examine your heart's electrical signals without causing discomfort.

24 services24 patients

Insertion of probe in esophagus for heart ultrasound 93313

This procedure involves placing a small probe in your esophagus. The probe, connected to an ultrasound machine, helps capture detailed images of your heart. This non-surgical, minimally invasive procedure provides valuable information about your heart's structure and function.

17 services17 patients

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210009

Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County

Emergency services Birthing friendly

Rhode Island Hospital

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipTribal

CMS Certification Number410007

Location593 Eddy StreetProvidence, RI 02903 · Providence County

Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.39/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

64.71

Promoting Interoperability

Improvement Activities

Cost

52.43

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.

DR. KEITH-AUSTIN SCARFO D.O.

Anesthesiology

593 EDDY ST, APC 6
PROVIDENCE, RI 02903

Providence County (401) 444-3777

AILEEN HSUEH

Surgery

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-8450

RHODE ISLAND HOSPITAL

General Acute Care Hospital

593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903

Providence County (401) 444-7585

DR. GA HIE NAM M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-5057

EUGENIE ATALLAH

Psychiatry & Neurology (Neurology)

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 606-2645

BRET CAULFIELD

Physician Assistant

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-4000

JUNG HO GONG

Student in an Organized Health Care Education/Training Program

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 793-2695

FANNY HUANG MD

Student in an Organized Health Care Education/Training Program

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-4741

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 James Abernathy's NPI number?

The NPI number for James Abernathy is 1942257217. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Where is James Abernathy located?

James Abernathy practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-5172.

What is James Abernathy's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is James Abernathy enrolled in Medicare?

Yes. James Abernathy is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for James Abernathy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Abernathy reassigns Medicare benefits to 2 organizations: Lifespan Physician Group, Inc. (Providence, RI) and Johns Hopkins University (Belcamp, MD). 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 James Abernathy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Abernathy accept?

Health plans from Taro Health list James Abernathy 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.

Is James Abernathy affiliated with any hospitals?

According to CMS data, James Abernathy is affiliated with Johns Hopkins Hospital, The and Rhode Island Hospital.

When was this NPI record last updated?

The NPPES record for James Abernathy was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.