JOHN DERMOTT MCGONIGLE M.D.
NPI 1982717807
Family Medicine in East Providence, RI
About John Dermott Mcgonigle M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN DERMOTT MCGONIGLE M.D. (NPI 1982717807) is an individual family medicine provider in East Providence, Rhode Island, licensed in Rhode Island (MD12897) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with The Miriam Hospital, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2006).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
John Dermott Mcgonigle M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show John Mcgonigle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
East Providence, RI 02914
- Reassigned Medicare billing, Rhode Island enrollment
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 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
The Miriam Hospital
Acute Care Hospitals · Providence, RIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02914 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 John Mcgonigle's NPI number?
The NPI number for John Mcgonigle is 1982717807. It was assigned to this individual provider in the NPPES registry on August 16, 2006.
Where is John Mcgonigle located?
John Mcgonigle practices at 201 Waterman Ave, East Providence, RI 02914. The listed phone number is (401) 572-3300.
What is John Mcgonigle's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is John Mcgonigle enrolled in Medicare?
Yes. John Mcgonigle 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.
Which organization bills Medicare for John Mcgonigle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Mcgonigle reassigns Medicare benefits to John Mcgonigle MD LLC (East Providence, RI). The 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 John Mcgonigle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is John Mcgonigle affiliated with any hospitals?
According to CMS data, John Mcgonigle is affiliated with The Miriam Hospital.
When was this NPI record last updated?
The NPPES record for John Mcgonigle was last updated on March 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# John Dermott Mcgonigle, M.D. · NPI 1982717807
Family Medicine physician in East Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since August 16, 2006.
## Identity
- **NPI:** 1982717807 (Entity type: Individual)
- **Enumerated:** August 16, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD12897 (Rhode Island)
- **Sole proprietor:** No
## Practice location
- **Address:** 201 WATERMAN AVE, East Providence, RI 02914-3522
- **Phone:** (401) 572-3300 · **Fax:** (401) 572-3301
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** John Mcgonigle MD LLC (NPI 1396320057, East Providence, RI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Stony Brook, School Of Medicine, class of 2006
## Record status
- **NPPES last updated:** March 16, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1982717807) · Data from the CMS NPPES public registry.