MR. PHATHSADY LOUANGXAY (P.A.) – Medical Physician Assistant, NPI 1174586671
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
774 PHYSICIAN ASSISTANT in RI
Provider Addresses for MR. PHATHSADY LOUANGXAY (P.A.)
455 Toll Gate Rd
Warwick, RI 028862759
Phone: (401) 737-7010
Fax: (401) 736-4546
Type: Location
PO BOX 16149
RUMFORD, RI 029160697
Phone: (401) 453-9625
Fax: (401) 435-7069
Type: Mailing
Summit Avenue, Providence, Providence County, Rhode Island, 02860, United States
PROVIDENCE, RI 029062853
Phone: (401) 793-4545
Fax: (401) 793-7866
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $632.
Total Amount is formed as General ($632) + Research ($0) + Ownership ($0) = $632.
Last reported payment date: 2024-10-09 • Largest payer in this snapshot: ABBVIE INC. ($443).
Total Amount
$632
General + Research + Ownership
Payments
8
Total payment records
General Amount
$632
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $443 |
| E.R. Squibb & Sons, L.L.C. | $128 |
| AstraZeneca Pharmaceuticals LP | $29 |
| Exact Sciences Corporation | $18 |
| PFIZER INC. | $13 |
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: 2005-04-18
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 |
|---|---|---|---|---|
| I20050418000080 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 28 | 28 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 22 | 22 | $0 |
Insurance plans in this area (ZIP 02886)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | RI | |
| Physician Assistant | RI | |
| Internal Medicine | RI | |
| Physician Assistant | RI | |
| Family Practice, Pulmonary Disease | RI | |
| Nurse Practitioner | RI | |
| Physician Assistant | NY | |
| Nurse Practitioner | RI | |
| Physician Assistant | RI | |
| Family Practice, Internal Medicine | RI |
Reviews
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