KATHERINE FARICY-ANDERSON (MD MPH) – Hematology & Oncology Physician, NPI 1194940700

KATHERINE FARICY-ANDERSON (MD MPH) is a healthcare provider. based in Providence, Rhode Island. specializing in MEDICAL ONCOLOGY, HEMATOLOGY/ONCOLOGY. They hold the professional credentials MD MPH. They hold a License No. CMD13751 (RI). The NPI Number for KATHERINE FARICY-ANDERSON (MD MPH) is 1194940700

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE FARICY-ANDERSON (MD MPH)
NPI
1194940700
Phone
(401) 273-7100
Address
830 CHALKSTONE AVE
Enumeration Date
17 April 2007
Last Update Date
14 July 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8609286541
Graduation Year
2005 (21 years ago)
PAC ID
9638472921
Group Practice PAC ID
5092773549
Professional Enrollment ID
I20251105002416
Address ID
CT062601836PU320XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

36 MEDICAL ONCOLOGY in RI

Provider Addresses for KATHERINE FARICY-ANDERSON (MD MPH)

  • 830 CHALKSTONE AVE

    PROVIDENCE, RI 02908

    Phone: (401) 273-7100

    Type: Mailing

  • 593 EDDY ST

    PROVIDENCE, RI 029034923

    Phone: (401) 444-8450

    Fax: (401) 444-5088

    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: 2025-11-05

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
I20251105002416IMedical OncologyCTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02908)

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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: 5092773549View full group profile
NameSpecialtyState
Clinical Social WorkerCT
Mental Health CounselorCT
-CT
Mental Health CounselorCT
Psychiatry, NeuropsychiatryCT
Clinical Social WorkerCT
-CT
Psychiatry, Geriatric PsychiatryCT
Cardiovascular Disease (Cardiology), Advanced Heart Failure And Transplant CardiologyCT
Mental Health CounselorCT

Reviews

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Frequently asked questions

Is there an official ID for KATHERINE FARICY-ANDERSON (MD MPH) in U.S. healthcare records?
The official identifier for KATHERINE FARICY-ANDERSON (MD MPH) is NPI 1194940700.
Is there an active status for KATHERINE FARICY-ANDERSON (MD MPH)?
For scheduling context, KATHERINE FARICY-ANDERSON (MD MPH) is shown as active in the registry.
What clinical focus is listed for KATHERINE FARICY-ANDERSON (MD MPH)?
At a glance, KATHERINE FARICY-ANDERSON (MD MPH) is tied to Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KATHERINE FARICY-ANDERSON (MD MPH)?
Travel planning: use Providence, Rhode Island as the reference point for KATHERINE FARICY-ANDERSON (MD MPH), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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