CARROLL A MEDEIROS (MD) – Obstetrics & Gynecology Physician, NPI 1083633242

CARROLL A MEDEIROS (MD) is a healthcare provider. based in Pawtucket, Rhode Island. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. MD09951 (RI). The NPI Number for CARROLL A MEDEIROS (MD) is 1083633242

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
CARROLL A MEDEIROS (MD)
NPI
1083633242
Phone
(401) 724-0600
Address
333 SCHOOL ST STE 205
Enumeration Date
19 July 2006
Last Update Date
31 March 2021

Doctor Profile

Medical School Name
WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Secondary Phone
4017240600
Graduation Year
2008 (18 years ago)
PAC ID
6709934557
Group Practice PAC ID
0042486649
Professional Enrollment ID
I20090505000016
Address ID
RI028605336PA333XXSTXX306

Contacts

Secure Messaging
carroll.medeiros.1@3516.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

239 OBSTETRICS/GYNECOLOGY in RI

Provider Addresses for CARROLL A MEDEIROS (MD)

  • 333 SCHOOL ST STE 205

    PAWTUCKET, RI 028605336

    Phone: (401) 724-0600

    Fax: (401) 724-1147

    Type: Location

  • 333, School Street, Pawtucket, Providence County, Rhode Island, 02860, United States

    PAWTUCKET, RI 028605334

    Phone: (401) 724-0600

    Fax: (401) 724-8306

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $130.

Total Amount is formed as General ($130) + Research ($0) + Ownership ($0) = $130.

Last reported payment date: 2024-11-02 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($47).

Total Amount

$130

General + Research + Ownership

Payments

6

Total payment records

General Amount

$130

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-02

Latest reported date

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: 2009-05-05

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
I20090505000016IObstetrics/GynecologyRITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1414$0
View full utilization report →

Insurance plans in this area (ZIP 02860)

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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: 0042486649View full group profile
NameSpecialtyState
-RI
O B S T E T R I C S/ G Y N E C O L O G YRI
-RI
Nurse PractitionerRI
O B S T E T R I C S/ G Y N E C O L O G YRI
O B S T E T R I C S/ G Y N E C O L O G YRI
O B S T E T R I C S/ G Y N E C O L O G YRI
O B S T E T R I C S/ G Y N E C O L O G YRI
O B S T E T R I C S/ G Y N E C O L O G YRI
O B S T E T R I C S/ G Y N E C O L O G YRI

Reviews

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Frequently asked questions

Does CARROLL A MEDEIROS (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — CARROLL A MEDEIROS (MD) uses 1083633242.
Does CMS list CARROLL A MEDEIROS (MD) as active?
Yes — CARROLL A MEDEIROS (MD) is active in the NPI listing used on this page.
What healthcare role does CARROLL A MEDEIROS (MD) hold?
Scheduling teams often label CARROLL A MEDEIROS (MD) under Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for CARROLL A MEDEIROS (MD)?
CARROLL A MEDEIROS (MD)'s geographic hint is Pawtucket, Rhode Island in our summary view.
Why does CARROLL A MEDEIROS (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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