SCOTT WARREN (MD/PHD) – Internal Medicine Physician, NPI 1043704703

SCOTT WARREN (MD/PHD) is a healthcare provider. based in Providence, Rhode Island. specializing in NEUROLOGY. They hold the professional credentials MD/PHD. They hold a License No. MD18618 (RI). The NPI Number for SCOTT WARREN (MD/PHD) is 1043704703

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT WARREN (MD/PHD)
NPI
1043704703
Phone
(401) 444-5127
Address
593 EDDY ST
Enumeration Date
17 June 2018
Last Update Date
19 April 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
4016062645
Graduation Year
2018 (8 years ago)
PAC ID
5092123604
Group Practice PAC ID
8921900044
Professional Enrollment ID
I20240611002575
Address ID
RI029034923PR593XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

173 NEUROLOGY in RI

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Provider Addresses for SCOTT WARREN (MD/PHD)

  • Rhode Island Hospital, 593, Eddy Street, Downtown, Providence, Providence County, Rhode Island, 02903, United States

    PROVIDENCE, RI 029034923

    Phone: (401) 444-5127

    Fax: (401) 444-3056

    Type: Mailing

  • 117 ELLENFIELD ST STE 101

    PROVIDENCE, RI 029054541

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $1,335.

Total Amount is formed as General ($1,335) + Research ($0) + Ownership ($0) = $1,335.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($1,314).

Total Amount

$1,335

General + Research + Ownership

Payments

4

Total payment records

General Amount

$1,335

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240611002575INeurologyRITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02903)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921900044View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YRI
E N D O C R I N O L O G YRI
-RI
Pain ManagementRI
Hematology/Oncology, Internal MedicineRI
Gastroenterology, Pediatric MedicineRI
Internal MedicineRI
-RI
N E U R O L O G YRI
-RI

Reviews

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Frequently asked questions

What is the standard ID for SCOTT WARREN (MD/PHD) in the U.S.?
In the U.S., SCOTT WARREN (MD/PHD) is identified by NPI 1043704703.
Does the public listing show SCOTT WARREN (MD/PHD) as active?
SCOTT WARREN (MD/PHD)'s NPI record reflects an active status in NPPES.
Which specialty label fits SCOTT WARREN (MD/PHD)?
NPPES ties SCOTT WARREN (MD/PHD) to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is SCOTT WARREN (MD/PHD) tied to Providence, Rhode Island?
If you are local to Providence, Rhode Island, SCOTT WARREN (MD/PHD) may be relevant to your search.
Why is information missing for SCOTT WARREN (MD/PHD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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