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Dr. Jon M. Dooley , MD

Pediatrics β€’ Pawtucket, RI

Active NPI 1619472339 Individual Practitioner Male Practitioner
Practice location in NPPES

1145 Main St
Pawtucket, RI 028607825

Call 4017220081 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1145 Main St

Pawtucket, RI 028607825

Telephone 4017220081
Organization at the Same NPPES Address or Phone
Blackstone Valley Community Health Care, Inc. Facility NPI 1275847766

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Dooley has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Dooley as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Pawtucket and Rhode Island

6 active clinicians are listed under Pediatrics with a practice address in Pawtucket, RI (330 in Rhode Island).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-10-06
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES RI MD18262

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Rhode Island State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20220125000843

Enrollment State Jurisdiction

RI

PECOS Control ID

1951645472

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

27 listed
Francisco Averhoff

Family Medicine

NPI 1760660443
Anne Barylick , FNP-BC

Nurse Practitioner - Family

NPI 1275064933

Family Nurse Practitioner (Board Certified)

Charlotte Crider

Family Medicine

NPI 1063152916
Kelly Cunningham , FNP-C

Nurse Practitioner - Family

NPI 1659739522

Family Nurse Practitioner (Certified)

Philomene Fortes

Nurse Practitioner - Family

NPI 1235568171
NPI 1942230990

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location October 06, 2025

Registered at 1145 MAIN ST, PAWTUCKET, RI 028607825 (Tel: 4017220081)

πŸ“
Updated Business Mailing Address October 06, 2025

Registered at 1145 MAIN ST, PAWTUCKET, RI 028607825 (Tel: 4017220081)

πŸ“
Updated Practice Location February 05, 2024

Registered at 1 WARREN WAY, PROVIDENCE, RI 029055000 (Tel: 4014440530)

πŸ“
Updated Business Mailing Address February 05, 2024

Registered at 375 ALLENS AVE, PROVIDENCE, RI 029055010 (Tel: 4014440400)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2022

Pediatrics (license number reported to NPPES: RI MD18262)

βœ…
NPI Profile Active March 26, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 26, 2018

Registered at MAIMONIDES MEDICAL CENTER, 4802 10TH AVE, BROOKLYN, NY 112192916 (Tel: 7182828000)

πŸ“
Business Mailing Address (Initial Record) March 26, 2018

Registered at MAIMONIDES MEDICAL CENTER, 4802 10TH AVE, BROOKLYN, NY 112192916 (Tel: 7182828000)

πŸ‘€
Provider Name / Credentials (Initial Record) March 26, 2018

Recorded as JON DOOLEY, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2018

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 26, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1619472339
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2018
Last Update: October 06, 2025
Sole Proprietor: No

Mailing Address

1145 Main St

Pawtucket, RI 028607825

Phone: 4017220081

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.