DOUGLAS G SHEMIN (MD) – Nephrology Physician, NPI 1710934724
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
57 NEPHROLOGY in RI
Provider Addresses for DOUGLAS G SHEMIN (MD)
250 Centerville Rd Bldg E
Warwick, RI 028864400
Phone: (401) 490-3838
Fax: (401) 490-3827
Type: Location
DEPT 3010, PO BOX 986524
BOSTON, MA 022986524
Phone: (401) 443-4992
Fax: (401) 784-4913
Type: Mailing
375 WAMPANOAG TRL
RIVERSIDE, RI 029152232
Phone: (404) 649-4060
Fax: (401) 649-4061
Type: Location
110, Elm Street, Jewelry District, Providence, Providence County, Rhode Island, 02903, United States
PROVIDENCE, RI 029034626
Phone: (877) 771-7401
Fax: (401) 784-4902
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $226.
Total Amount is formed as General ($226) + Research ($0) + Ownership ($0) = $226.
Last reported payment date: 2024-04-30 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($104).
Total Amount
$226
General + Research + Ownership
Payments
3
Total payment records
General Amount
$226
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $104 |
| Amgen Inc. | $104 |
| Baxter Healthcare | $19 |
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: 2004-06-14
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 |
|---|---|---|---|---|
| I20040614000092 | I | Nephrology | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 159 | 90 | $0 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 119 | 15 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 88 | 37 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 32 | 30 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 25 | 25 | $0 |
Insurance plans in this area (ZIP 02886)
Loading plans...
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 |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.