JOHN TUCKER IRWIN – Emergency Medicine Physician, NPI 1154610640

JOHN TUCKER IRWIN is a healthcare provider. based in North providence, Rhode Island. specializing in EMERGENCY MEDICINE. They hold a License No. 4301105193 (MI). The NPI Number for JOHN TUCKER IRWIN is 1154610640

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
JOHN TUCKER IRWIN
NPI
1154610640
Phone
(401) 456-3000
Address
200 High Service Ave
Enumeration Date
5 April 2011
Last Update Date
27 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2074874000
Graduation Year
2011 (15 years ago)
PAC ID
6709005168
Group Practice PAC ID
1052657616
Professional Enrollment ID
I20210304001288
Address ID
ME049673707PI447XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:15State licenses:3Digital endpointsOther names

439 EMERGENCY MEDICINE in RI

Provider Addresses for JOHN TUCKER IRWIN

  • 200 High Service Ave

    North Providence, RI 029045113

    Phone: (401) 456-3000

    Type: Location

  • 1200 STILLMEADOW RD SW

    CONYERS, GA 300945703

    Phone: (770) 827-9526

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-10-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20210304001288IEmergency MedicineMETBD
I20240329000940IEmergency MedicineMITBD
I20241010001456IEmergency MedicineGATBD

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
99285Emergency department visit with high level of medical decision making113109$0
99284Emergency department visit with moderate level of medical decision making2929$0
View full utilization report →

Insurance plans in this area (ZIP 02904)

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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: 1052657616View full group profile
NameSpecialtyState
Emergency MedicineME
Emergency MedicineIL
General SurgeryME
Emergency MedicineSC
Emergency MedicineWV
-NJ
Emergency MedicineMA
Emergency MedicineRI
Emergency MedicineNJ
Emergency MedicineWI

Reviews

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Frequently asked questions

Does JOHN TUCKER IRWIN share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JOHN TUCKER IRWIN uses 1154610640.
Is JOHN TUCKER IRWIN still practicing?
JOHN TUCKER IRWIN is currently listed as active in the public NPI registry.
What taxonomy line describes JOHN TUCKER IRWIN?
For research purposes, treat JOHN TUCKER IRWIN as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for JOHN TUCKER IRWIN?
JOHN TUCKER IRWIN's geographic hint is North Providence, Rhode Island in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.