Providence Interventional Associates II LLC
NPI 1306123476ActiveOrganization· Radiology, Vascular & Interventional Radiology· Providence, RI
Radiology, Vascular & Interventional Radiology in Providence, Rhode Island, registered in NPPES in November 2011. The authorized official on file is Jonah Licht, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1306123476 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 3, 2011 |
| Last updated in NPPES | Jun 13, 2025 |
| Certified by provider | Jun 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Vascular & Interventional Radiology Primary | 2085R0204X | — | — |
| Internal Medicine, Nephrology | 207RN0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (RI) |
|---|
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