CHILDREN'S MEDICAL GROUP
NPI 1932117702
Pediatrics in Providence, RI
NPI Status: Active since August 04, 2006
Contact Information
100 HIGHLAND AVE
SUITE 201
PROVIDENCE, RI
ZIP 02906
Phone: (401) 633-1100
Fax: (401) 633-0047
- Organization
- Pediatrics
- Accepts Insurance
- CLIA Number: 41D0894561
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-14-2027
About CHILDREN'S MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Children's Medical Group, a pediatrician established in Providence, Rhode Island operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1932117702 assigned on August 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Children's Medical Group. The authorized official of this NPI record is Robert E Eden Md (Owner)
- NPI
- 1932117702
- Provider Legal Name
- UNIVERSITY PEDIATRICS, INC
- Other Organization Name
- CHILDREN'S MEDICAL GROUP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 100 HIGHLAND AVE SUITE 201 PROVIDENCE, RI 02906
- Location Phone
- (401) 633-1100
- Location Fax
- (401) 633-0047
- Mailing Address
- 100 HIGHLAND AVE SUITE 201 PROVIDENCE, RI 02906
- Mailing Phone
- (401) 633-1100
- Mailing Fax
- (401) 633-0047
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-04-2006
- Last Update Date
- 03-27-2014
- Code Navigator
A pediatrician like Children's Medical Group is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License State
- RI
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
- BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Silver 24J01-03 ($0 Virtual PCP Visits / $0 Labs / Rewards) - PPO
- BlueOptions Silver 24J01-07 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) - EPO
- BlueSelect Bronze 1449 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - EPO
- BlueSelect Bronze 2139 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - EPO
- BlueSelect Bronze 2139E ($0 Virtual PCP Visits / $50 PCP Visits / Adult Dental & Vision / Rewards) - EPO
- BlueSelect Bronze 2139V ($0 Virtual PCP Visits / $50 PCP Visits / Adult Vision / Rewards) - EPO
- BlueSelect Bronze 2342S ($50 PCP Visits / Multilingual Available / Rewards) - EPO
- BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
- BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
- BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
- BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- BlueCare Gold 24K01-10 ($0 Virtual PCP Visits / $15 Labs / Rewards) - POS
- BlueCare Gold 24K01-33S ($30 PCP Visits / Multilingual Available/ Rewards) - POS
- BlueCare Gold 24K02-20 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available / Rewards) - POS
- BlueCare Platinum 24K01-04 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K01-07 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
- BlueCare Platinum 24K02-15 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
- BlueCare Silver 24K01-02 ($0 Virtual PCP Visits / $0 Labs / Rewards) - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| UP29391 | MEDICAID (05) | RI |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 41D0894561
- Facility Type
- Physician Office
- Certificate Effective Date
- February 15, 2025
- Certificate Expiration Date
- February 14, 2027
- Laboratory Director
- ROBERT E. EDEN MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Children's Medical Group to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for CHILDREN'S MEDICAL GROUP
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 3 | 2 | 1 | 1 | 7 | 7 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 6 | 2 | 2 | 1 | 14 | 7 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 6 + 2 + 2 + 1 + 1 + 4 + 7 + 0 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1932117702 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1336107382 | EZRA LOUIS L. GALLER M.D. Individual | Ophthalmology | 100 HIGHLAND AVE SUITE 304 PROVIDENCE, RI 02906 (401) 728-1400 |
| 1124071097 | PETRO KARANASIAS MD Individual | Psychiatry & Neurology (Neurology) | 100 HIGHLAND AVE SUITE 303 PROVIDENCE, RI 02906 (401) 272-1883 |
| 1164528337 | DR. WILLIAM MASON STONE M.D. Individual | Psychiatry & Neurology (Neurology) | 100 HIGHLAND AVE PROVIDENCE, RI 02906 (401) 351-3312 |
| 1952401978 | HEIDI L. YOUNG O.D. Individual | Optometrist | 100 HIGHLAND AVE SUITE 304 PROVIDENCE, RI 02906 (401) 728-1400 |
| 1407995640 | ROBERTO ORTIZ M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 100 HIGHLAND AVE PROVIDENCE, RI 02906 (401) 351-7100 |
| 1598863599 | ROBERT J DOBRZYNSKI JR. M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 100 HIGHLAND AVE 203 PROVIDENCE, RI 02906 (401) 351-7100 |
| 1346442563 | DR. MAN CHIN CHANG M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 100 HIGHLAND AVE SUITE 203 PROVIDENCE, RI 02906 (401) 351-7100 |
| 1467495572 | ROBERT EMANUEL EDEN M.D. Individual | Pediatrics | 100 HIGHLAND AVE SUITE 200 PROVIDENCE, RI 02906 (401) 633-1100 |
| 1306274584 | MS. BRIANNA LEIGH BOULANGER MT Individual | Massage Therapist | 100 HIGHLAND AVE SUITE 102 PROVIDENCE, RI 02906 (401) 305-5280 |
| 1043447097 | MISS VORAWAN UMMARITCHOT M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 100 HIGHLAND AVE SUITE 203 PROVIDENCE, RI 02906 (401) 351-7100 |
| 1063817963 | STEPHANIE SACHS Individual | Massage Therapist | 100 HIGHLAND AVE SUITE 102 PROVIDENCE, RI 02906 (401) 305-5280 |
| 1407954415 | DIABETES & ENDOCRINOLOGY ASSOCIATES, INC. Organization | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 100 HIGHLAND AVE PROVIDENCE, RI 02906 (401) 351-7100 |
| 1902292899 | UNIVERSITY PEDIATRICS DBA CHILDREN'S MEDICAL GROUP Organization | Nurse Practitioner (Pediatrics) | 100 HIGHLAND AVE SUITE 201 PROVIDENCE, RI 02906 (401) 633-1100 |
| 1942528658 | MARGARET M DYER MD Individual | Pediatrics | 100 HIGHLAND AVE PROVIDENCE, RI 02906 (401) 633-1100 |
| 1134192891 | JONAH M LICHT MD Individual | Internal Medicine (Nephrology) | 100 HIGHLAND AVE PROVIDENCE, RI 02906 (401) 277-9729 |
| 1689670044 | ELIZABETH L ALTENHEIN MD Individual | Surgery | 100 HIGHLAND AVE STE 308 PROVIDENCE, RI 02906 (401) 553-8360 |
| 1245261817 | SMITH INTERNAL MEDICINE GROUP LTD Organization | Internal Medicine | 100 HIGHLAND AVE SUITE 203 PROVIDENCE, RI 02906 (401) 521-2002 |
| 1194877704 | LYNN H SOMMERVILLE MD PHD Organization | Internal Medicine | 100 HIGHLAND AVE #302 PROVIDENCE, RI 02906 (401) 331-8338 |
| 1326710427 | JENNA COSTA Individual | Nurse Practitioner (Family) | 100 HIGHLAND AVE PROVIDENCE, RI 02906 (401) 633-1100 |
| 1851721740 | HEDMED, LLC Organization | Preventive Medicine (Public Health & General Preventive Medicine) | 100 HIGHLAND AVE SUITE 303 PROVIDENCE, RI 02906 (877) 358-8648 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932117702, enumerated in the NPI registry as an "organization" on August 04, 2006
The provider is located at 100 Highland Ave Suite 201 Providence, Ri 02906 and the phone number is (401) 633-1100
This medical organization specializes in Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 41D0894561 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on August 04, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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