Pai Participant 5 PC
NPI 1194381947ActiveOrganization· Internal Medicine, Geriatric Medicine· Coventry, RI
Internal Medicine, Geriatric Medicine in Coventry, Rhode Island, registered in NPPES in May 2019. The authorized official on file is Brittain Brantley, Acting President. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1194381947 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 17, 2019 |
| Last updated in NPPES | Aug 13, 2026 |
| Certified by provider | Aug 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Geriatric Medicine Primary | 207RG0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IA); Part B Supplier - Clinic/Group Practice (PA); Part B Supplier - Clinic/Group Practice (RI); Part B Supplier - Clinic/Group Practice (SC); Part B Supplier - Clinic/Group Practice (WV) |
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Other geriatricians in Coventry
- 1710939426
- 1568831162