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Byron T Alex

Pediatrics β€’ Providence, RI

Active NPI 1114212404 Individual Practitioner Male Practitioner
Practice location in NPPES

355 Prairie Ave
Providence, RI 029051928

Call 4014440570 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

355 Prairie Ave

Providence, RI 029051928

Telephone 4014440570
Fax 4014440427
Organization at the Same NPPES Address or Phone
The Providence Community Health Centers, Inc Facility NPI 1417959867

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

2011

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

Compared with the same specialty in Providence and Rhode Island

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Providence

0.6% of these 160 clinicians have the CMS telehealth indicator.

6.2% of these 160 clinicians are listed by CMS as accepting Medicare assignment.

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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES RI MD15915

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.

Preventive Medicine - Public Health & General Preventive Medicine

NUCC Taxonomy Code: 2083P0901X

License # reported to NPPES RI 15915

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.

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

Clinicians Sharing This Practice Address or Phone

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

29 listed
Myah Audette , NP

Nurse Practitioner - Family

NPI 1841656204

Nurse Practitioner

Stephanie Avila , CNM, NP-C

Advanced Practice Midwife

NPI 1184643363

Certified Nurse Midwife, Nurse Practitioner (Certified)

Dr. Jennifer Boyle , MD

Obstetrics & Gynecology

NPI 1891774394

Doctor of Medicine (M.D.)

Nicole Burns , NP

Nurse Practitioner - Family

NPI 1235597139

Nurse Practitioner

Erin Dana , FNP

Nurse Practitioner - Family

NPI 1417208802

Family Nurse Practitioner

NPI 1003432212

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
βœ…
NPI Profile Active December 13, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location December 13, 2017

Registered at 355 PRAIRIE AVE, PROVIDENCE, RI 029051928 (Tel: 4014440570)

πŸ“
Updated Business Mailing Address December 13, 2017

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

πŸ‘€
Provider Name / Credentials Updated December 13, 2017

Recorded as BYRON ALEX

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2017

Pediatrics (license number reported to NPPES: RI MD15915)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2017

Pediatrics (license number reported to NPPES: RI 15915)

βœ…
NPI Profile Active March 09, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 09, 2015

Registered at 4209 28TH ST, LONG ISLAND CITY, NY 111014130 (Tel: 3473962838)

πŸ“
Business Mailing Address (Initial Record) March 09, 2015

Registered at 4209 28TH ST, LONG ISLAND CITY, NY 111014130 (Tel: 3473962838)

πŸ‘€
Provider Name / Credentials (Initial Record) March 09, 2015

Recorded as BYRON ALEX

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2015

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration June 14, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1114212404
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2011
Last Update: December 13, 2017
Sole Proprietor: Yes

Other Pediatrics Specialists in Providence

All Pediatrics Specialists in Providence

Mailing Address

375 Allens Ave

Providence, RI 029055010

Phone: 4014440400

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.