DR. ETHAN H KISCH (M.D.) – Psychiatry Physician, NPI 1063480002
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for DR. ETHAN H KISCH (M.D.)
75, Lambert Lind Highway, Pontiac, Warwick, Kent County, Rhode Island, 02886, United States
120-100
WARWICK, RI 028861131
Phone: (401) 681-4274
Fax: (401) 681-4285
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $5,652.
Total Amount is formed as General ($5,652) + Research ($0) + Ownership ($0) = $5,652.
Last reported payment date: 2023-03-14 • Largest payer in this snapshot: IDORSIA PHARMACEUTICALS US INC ($5,652).
Total Amount
$5,652
General + Research + Ownership
Payments
3
Total payment records
General Amount
$5,652
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| IDORSIA PHARMACEUTICALS US INC | $5,652 |
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: 2005-03-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050330001013 | I | Psychiatry | MA | TBD |
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.
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 02886)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | RI | 90833 | Psychotherapy, 30 minutes with patient and/or family member | 378 | 122 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MA | |
| - | MA | |
| - | MA | |
| Clinical Social Worker | MA | |
| Mental Health Counselor | MA | |
| - | MA | |
| - | MA | |
| Nurse Practitioner | MA | |
| Clinical Social Worker | RI | |
| - | MA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.