DR. MICHAEL J MONSOUR (MD) – Internal Medicine Physician, NPI 1528052677
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
57 NEPHROLOGY in RI
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Provider Addresses for DR. MICHAEL J MONSOUR (MD)
318, Waterman Avenue, Six Corners, East Providence, Providence County, Rhode Island, 02914, United States
EAST PROVIDENCE, RI 029143525
Phone: (401) 438-5950
Fax: (401) 435-6700
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $4.
Total Amount is formed as General ($4) + Research ($0) + Ownership ($0) = $4.
Last reported payment date: 2023-12-11 • Largest payer in this snapshot: Travere Therapeutics, Inc. ($4).
Total Amount
$4
General + Research + Ownership
Payments
2
Total payment records
General Amount
$4
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Travere Therapeutics, Inc. | $4 |
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: 2014-12-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20141013001065 | I | Nephrology | RI | TBD |
| I20141205001439 | I | Internal Medicine | MA | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 229 | 85 | $0 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 177 | 32 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 170 | 103 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 98 | 88 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 40 | 26 | $0 |
Insurance plans in this area (ZIP 02914)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEPHROLOGY | RI | 90935 | Hemodialysis procedure with one physician evaluation | 198 | 101 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Nephrology | RI | |
| Internal Medicine, Nephrology | RI | |
| Nephrology, Internal Medicine | RI | |
| - | RI | |
| N E P H R O L O G Y | CT | |
| - | RI | |
| N E P H R O L O G Y | RI | |
| Nephrology, Internal Medicine | RI | |
| Nephrology, Internal Medicine | MA | |
| Internal Medicine, Nephrology | RI |
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