LUCIA LARSON (MD) – Internal Medicine Physician, NPI 1487687984
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
44 ENDOCRINOLOGY in RI
Provider Addresses for LUCIA LARSON (MD)
375 WAMPANOAG TRL
RIVERSIDE, RI 029152232
Phone: (401) 649-4090
Fax: (401) 649-4091
Type: Location
146 West River Street
3rd Floor
Providence, RI 02904
Phone: (401) 793-5700
Fax: (401) 793-7801
Type: Location
DEPT 3010, PO BOX 986524
BOSTON, MA 022986524
Phone: (401) 443-4992
Fax: (401) 537-7241
Type: Mailing
West River Center, 146, West River Street, Providence, Providence County, Rhode Island, 02904, United States
3RD FLOOR
PROVIDENCE, RI 02904
Phone: (401) 793-5700
Fax: (401) 793-7801
Type: Mailing
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: 2011-02-08
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 |
|---|---|---|---|---|
| I20110208000556 | I | Endocrinology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02915)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| E N D O C R I N O L O G Y | RI | |
| Geriatric Medicine | RI | |
| N E P H R O L O G Y | RI | |
| Internal Medicine | RI | |
| - | RI | |
| - | RI | |
| Infectious Disease | RI | |
| - | RI | |
| Infectious Disease | RI | |
| Internal Medicine | RI |
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