DR. JILL LAMANNA MARON (M.D.) – Specialist, NPI 1609830454

DR. JILL LAMANNA MARON (M.D.) is a healthcare provider. based in Providence, Rhode Island. specializing in Specialist. They hold the professional credentials M.D.. They hold a License No. MD11265 (RI). The NPI Number for DR. JILL LAMANNA MARON (M.D.) is 1609830454

Main info

Female
Name
DR. JILL LAMANNA MARON (M.D.)
NPI
1609830454
Phone
(401) 274-1122
Address
101 DUDLEY ST
Enumeration Date
17 April 2006
Last Update Date
16 December 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. JILL LAMANNA MARON (M.D.)

  • 101 DUDLEY ST

    PROVIDENCE, RI 029052401

    Phone: (401) 274-1122

    Fax: (401) 453-7571

    Type: Location

  • 800 Washington St

    Division of Newborn Medicine, Box 44

    Boston, MA 021111552

    Phone: (617) 636-0766

    Fax: (617) 636-1469

    Type: Location

  • 9, Borderland Road, Sharon, Norfolk County, Massachusetts, United States

    SHARON, MA 020673023

    Phone: (781) 784-4915

    Type: Mailing

  • Tufts Medical Center, 800, Washington Street, Bay Village, Boston, Suffolk County, Massachusetts, 02111, United States

    DIVISION OF NEWBORN MEDICINE, BOX 44

    BOSTON, MA 021111552

    Phone: (617) 636-0766

    Fax: (617) 636-1469

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $61.

Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.

Last reported payment date: 2024-02-28 • Largest payer in this snapshot: Medtronic, Inc. ($61).

Total Amount

$61

General + Research + Ownership

Payments

1

Total payment records

General Amount

$61

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-28

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$61
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: 2021-09-01

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061024000470IPediatric MedicineMATBD
I20210901000136IPediatric MedicineRITBD

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 02905)

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Reviews

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Frequently asked questions

How do payers reference DR. JILL LAMANNA MARON (M.D.)?
For DR. JILL LAMANNA MARON (M.D.), use NPI 1609830454 as the unique 10-digit identifier.
Active or inactive — what applies to DR. JILL LAMANNA MARON (M.D.)?
You should see DR. JILL LAMANNA MARON (M.D.) as active in CMS-hosted NPPES data.
How would a patient describe DR. JILL LAMANNA MARON (M.D.)'s focus?
For DR. JILL LAMANNA MARON (M.D.), the primary taxonomy reads as Other Service Providers. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JILL LAMANNA MARON (M.D.)?
Directory geography for DR. JILL LAMANNA MARON (M.D.) centers on Providence, Rhode Island.
Does DR. JILL LAMANNA MARON (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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