DR. MRIDULA MENON (MD) – Internal Medicine Physician, NPI 1427045301

DR. MRIDULA MENON (MD) is a healthcare provider. based in Providence, Rhode Island. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD11557 (RI). The NPI Number for DR. MRIDULA MENON (MD) is 1427045301

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. MRIDULA MENON (MD)
NPI
1427045301
Phone
(401) 421-4000
Address
10 DAVOL SQ
Enumeration Date
5 October 2005
Last Update Date
2 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4013333111
Graduation Year
1997 (29 years ago)
PAC ID
6406817261
Group Practice PAC ID
0345658316
Professional Enrollment ID
I20110805000052
Address ID
RI028651170LI6XXXXPLXX401
Telehealth
Yes

Contacts

Secure Messaging
mmenon220846@direct.lifespan.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,158 INTERNAL MEDICINE in RI

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Provider Addresses for DR. MRIDULA MENON (MD)

  • Davol Square, Downtown, Providence, Providence County, Rhode Island, 02903, United States

    SUITE 400

    PROVIDENCE, RI 029034754

    Phone: (401) 421-4000

    Fax: (401) 272-1456

    Type: Mailing

  • 6, Blackstone Valley Place, Lime Rock, Albion, Lincoln, Providence County, Rhode Island, 02865, United States

    SUITE 701

    LINCOLN, RI 028651179

    Phone: (401) 333-3111

    Fax: (401) 334-1217

    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: 2011-08-05

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
I20110805000052IInternal MedicineRITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes322198$0
99213Established patient office or other outpatient visit, 20-29 minutes7765$0
G0008Administration of influenza virus vaccine6565$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report5757$0
90662Influenza vaccine split virus, preservative free4747$0
View full utilization report →

Insurance plans in this area (ZIP 02903)

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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: 0345658316View full group profile
NameSpecialtyState
Nurse PractitionerRI
Internal MedicineRI
Physician AssistantRI
Physician AssistantRI
Nurse PractitionerRI
Physician AssistantRI
Physician AssistantRI
Family PracticeRI
Nurse PractitionerRI
Nurse PractitionerRI

Reviews

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Frequently asked questions

What is the registry number for DR. MRIDULA MENON (MD)?
The registry entry for DR. MRIDULA MENON (MD) shows NPI 1427045301.
Quick check: is DR. MRIDULA MENON (MD) active?
Public NPPES data shows DR. MRIDULA MENON (MD) with an active NPI status right now.
Which specialty label fits DR. MRIDULA MENON (MD)?
NPPES ties DR. MRIDULA MENON (MD) to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit DR. MRIDULA MENON (MD) in Providence, Rhode Island?
For routing, start with Providence, Rhode Island for DR. MRIDULA MENON (MD), then verify phone and hours locally.
Why is information missing for DR. MRIDULA MENON (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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