NINA TATEVIAN (MD PHD) – Anatomic Pathology Physician, NPI 1154377000
Anatomic Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
111 PATHOLOGY in RI
Provider Addresses for NINA TATEVIAN (MD PHD)
PO BOX 741169
HOUSTON, TX 772741169
Phone: (832) 824-1866
Fax: (832) 825-1032
Type: Mailing
455 Toll Gate Rd
Pathology Department
Warwick, RI 02886
Phone: (401) 737-7000
Type: Location
Texas Children's Hospital, 6621, Fannin Street, Texas Medical Center, Houston, Harris County, Texas, 77030, United States
HOUSTON, TX 770302399
Phone: (832) 824-1866
Fax: (832) 825-1032
Type: Location
455 TOLL GATE RD
PRC AND CREDENTIALING
WARWICK, RI 028862759
Phone: (401) 273-0641
Fax: (401) 273-2919
Type: Mailing
101 DUDLEY ST
PATHOLOGY DEPARTMENT
PROVIDENCE, RI 029052401
Phone: (401) 453-7655
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2021-10-04
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 |
|---|---|---|---|---|
| I20211004002265 | I | Pathology | 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 77274)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | RI | |
| Internal Medicine | RI | |
| Physician Assistant | RI | |
| A N E S T H E S I O L O G Y | RI | |
| A N E S T H E S I O L O G Y | RI | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology, Interventional Cardiology, Cardiovascular Disease (Cardiology) | RI | |
| Cardiovascular Disease (Cardiology) | MA | |
| Internal Medicine, Pulmonary Disease, Pulmonary Disease | MA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| - | 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.