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SIRAJ AMANULLAH MD
NPI 1952322802
Pediatrics - Pediatric Emergency Medicine in Providence, RI

Active since July 23, 2006PECOS Enrolled
593 EDDY ST, CLAVERICK 2, PROVIDENCE, RI 02903(401) 854-2504(401) 854-2519 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 21, 2022, May 19, 2022 (2 updates tracked since 2022).

About Siraj Amanullah Md NPPES

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

SIRAJ AMANULLAH MD (NPI 1952322802) is an individual pediatric emergency medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD10763) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952322802
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameSIRAJ AMANULLAHCredential: MD
Location Address593 EDDY ST, CLAVERICK 2Providence, RI 02903-4923
Mailing Address125 Whipple St Ste 3Providence, RI 02908-3258 · (401) 519-0330
Phone(401) 854-2504
Fax(401) 854-2519
Sole ProprietorNo
Enumeration DateJuly 23, 2006
Last NPPES UpdateNovember 29, 20232 updates tracked since enumeration
NPPES CertifiedDecember 21, 2022
✔ NPI 1952322802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in RI · MD10763
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License MD10763 (RI)
593 EDDY ST, Providence, RI 02903
Open in Google Maps ↗

Other Identifiers 8

Other01/14/2010RI · Nhpri
Other04/15/2009RI · United Healthcare
Medicaid0170861MA
Other12/28/2008MA · Tufts Health Plan
Other02/01/2007RI · Bcbs
MedicaidSA47759RI
Other939025129RI · Ri Medicare Group Number
Other1952322802RI · Npi

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Siraj Amanullah Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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
BRIAN CAO MD
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 606-4286
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

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 Siraj Amanullah's NPI number?

The NPI number for Siraj Amanullah is 1952322802. It was assigned to this individual provider in the NPPES registry on July 23, 2006.

Where is Siraj Amanullah located?

Siraj Amanullah practices at 593 Eddy St Claverick 2, Providence, RI 02903. The listed phone number is (401) 854-2504.

What is Siraj Amanullah's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Siraj Amanullah enrolled in Medicare?

Yes. Siraj Amanullah is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Siraj Amanullah was last updated on November 29, 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.