EDWARD MEDEIROS (DO) – Nephrology Physician, NPI 1144616715
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
57 NEPHROLOGY in RI
Provider Addresses for EDWARD MEDEIROS (DO)
1076 N Main St
Providence, RI 029045760
Phone: (401) 861-7711
Fax: (401) 421-5710
Type: Location
70 Kenyon Ave Ste 270
Wakefield, RI 028794253
Phone: (401) 782-0090
Fax: (401) 782-0888
Type: Location
1076 N MAIN ST
PROVIDENCE, RI 029045760
Phone: (401) 861-7711
Fax: (401) 421-5710
Type: Mailing
DEPT 3010, PO BOX 986524
BOSTON, MA 022986524
Phone: (401) 443-4992
Fax: (401) 784-4913
Type: Mailing
250 CENTERVILLE RD BLDG E
WARWICK, RI 028864400
Phone: (401) 649-4070
Fax: (401) 649-4071
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 200 Open Payments records for all available years, with a total value of $35,689.
Total Amount is formed as General ($35,689) + Research ($0) + Ownership ($0) = $35,689.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($32,802).
Total Amount
$35,689
General + Research + Ownership
Payments
200
Total payment records
General Amount
$35,689
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2020-06-01
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 |
|---|---|---|---|---|
| I20200601002689 | I | Nephrology | RI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 222 | 116 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 180 | 77 | $0 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 102 | 50 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 101 | 42 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 85 | 65 | $0 |
Insurance plans in this area (ZIP 02904)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | RI | |
| - | RI | |
| Internal Medicine | RI | |
| Internal Medicine | RI | |
| - | RI | |
| Internal Medicine | RI | |
| P S Y C H I A T R Y | MI | |
| - | RI | |
| - | RI | |
| P S Y C H I A T R Y | RI |
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