MR. KENNETH CHARLES JR. BARIS (PA-C) – Physician Assistant, NPI 1811457583

MR. KENNETH CHARLES JR. BARIS (PA-C) is a healthcare provider. based in Chepachet, Rhode Island. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA-01111 (RI). The NPI Number for MR. KENNETH CHARLES JR. BARIS (PA-C) is 1811457583

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
MR. KENNETH CHARLES JR. BARIS (PA-C)
NPI
1811457583
Phone
(401) 743-7054
Address
540 REYNOLDS RD
Enumeration Date
20 March 2019
Last Update Date
17 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4012685333
Graduation Year
2019 (7 years ago)
PAC ID
1052654407
Group Practice PAC ID
4880021658
Professional Enrollment ID
I20190528002074
Address ID
RI028523638NO420XXRDXX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

774 PHYSICIAN ASSISTANT in RI

Provider Addresses for MR. KENNETH CHARLES JR. BARIS (PA-C)

  • 540 REYNOLDS RD

    CHEPACHET, RI 028141614

    Phone: (401) 743-7054

    Type: Mailing

  • 420 SCRABBLETOWN RD STE A

    NORTH KINGSTOWN, RI 028523638

    Phone: (401) 268-5333

    Fax: (855) 268-5333

    Type: Location

  • Old Danielson Pike, South Foster, Foster, Providence County, Rhode Island, United States

    FOSTER, RI 028251458

    Phone: (401) 743-7054

    Type: Mailing

  • Landmark Medical Center, 115, Cass Avenue, Hamlet, Woonsocket, Providence County, Rhode Island, 02895, United States

    WOONSOCKET, RI 028954705

    Phone: (401) 769-4100

    Type: Location

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 $137.

Total Amount is formed as General ($137) + Research ($0) + Ownership ($0) = $137.

Last reported payment date: 2023-04-27 • Largest payer in this snapshot: ABBVIE INC. ($137).

Total Amount

$137

General + Research + Ownership

Payments

2

Total payment records

General Amount

$137

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$137
View all Open Payments →|Open Payments Risk Radar →

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: 2019-05-28

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
I20190528002074IPhysician AssistantRITBD

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 minutes3611$0
View full utilization report →

Insurance plans in this area (ZIP 02814)

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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: 4880021658View full group profile
NameSpecialtyState
Nurse PractitionerCT
Clinical PsychologistRI
Nurse PractitionerIL
Nurse PractitionerRI
Nurse PractitionerRI
Nurse PractitionerRI
Clinical PsychologistRI
Psychiatry, Geriatric PsychiatryRI
Mental Health CounselorRI
Clinical PsychologistRI

Reviews

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Frequently asked questions

What federal number belongs to MR. KENNETH CHARLES JR. BARIS (PA-C)?
The federal identifier for MR. KENNETH CHARLES JR. BARIS (PA-C) is NPI 1811457583.
Is MR. KENNETH CHARLES JR. BARIS (PA-C) active in the national directory?
MR. KENNETH CHARLES JR. BARIS (PA-C)'s public NPI profile is in an active state.
What field does MR. KENNETH CHARLES JR. BARIS (PA-C) work in?
You can think of MR. KENNETH CHARLES JR. BARIS (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place MR. KENNETH CHARLES JR. BARIS (PA-C)?
The snapshot lists Chepachet, Rhode Island for MR. KENNETH CHARLES JR. BARIS (PA-C); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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