ALICIA ROLDAN (DO) – Internal Medicine Physician, NPI 1891303871

ALICIA ROLDAN (DO) is a healthcare provider. based in Providence, Rhode Island. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 20A22464 (CA). The NPI Number for ALICIA ROLDAN (DO) is 1891303871

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
ALICIA ROLDAN (DO)
NPI
1891303871
Phone
(401) 456-2000
Address
825 CHALKSTONE AVE
Enumeration Date
16 July 2020
Last Update Date
13 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8182465516
Graduation Year
2020 (6 years ago)
PAC ID
2365984457
Group Practice PAC ID
4385980358
Professional Enrollment ID
I20240604003125
Address ID
CA912042504GL1208XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,165 INTERNAL MEDICINE in RI

Provider Addresses for ALICIA ROLDAN (DO)

  • 825 CHALKSTONE AVE

    PROVIDENCE, RI 029084728

    Phone: (401) 456-2000

    Type: Mailing

  • 1501 LINCOLN BLVD # 1232

    VENICE, CA 902913503

    Phone: (609) 933-1270

    Type: Mailing

  • 1420 S CENTRAL AVE

    GLENDALE, CA 91204

    Phone: (818) 502-2275

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $145.

Total Amount is formed as General ($145) + Research ($0) + Ownership ($0) = $145.

Last reported payment date: 2023-07-12 • Largest payer in this snapshot: Gilead Sciences, Inc. ($122).

Total Amount

$145

General + Research + Ownership

Payments

3

Total payment records

General Amount

$145

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-06-04

PECOS data refreshed: 2026-06-15

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
I20240604003125IInternal MedicineCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02908)

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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: 4385980358View full group profile
NameSpecialtyState
Nurse PractitionerCA
Physical Medicine And RehabilitationCA
Nurse PractitionerCA
Physical Medicine And RehabilitationCA
Physical Medicine And RehabilitationCA
Physician AssistantMA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Physician AssistantCA

Reviews

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Frequently asked questions

How do payers reference ALICIA ROLDAN (DO)?
For ALICIA ROLDAN (DO), use NPI 1891303871 as the unique 10-digit identifier.
Is there an active status for ALICIA ROLDAN (DO)?
For scheduling context, ALICIA ROLDAN (DO) is shown as active in the registry.
What kind of doctor is ALICIA ROLDAN (DO)?
ALICIA ROLDAN (DO) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for ALICIA ROLDAN (DO)?
Travel planning: use Providence, Rhode Island as the reference point for ALICIA ROLDAN (DO), then confirm.
Can I trust this NPI listing for ALICIA ROLDAN (DO)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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