Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jack Richard

Physician Assistant β€’ Providence, RI

Active NPI 1730926940 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

33 Staniford St
Providence, RI 029053105

Call 4014218800 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

33 Staniford St

Providence, RI 029053105

Telephone 4014218800
Fax 4014212492
Organization at the Same NPPES Address or Phone
Bayside Endoscopy Center, Llc Facility NPI 1720085657

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

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: University Gastroenterology, Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2024

Open Payments general payments, program year 2025

All general payments: $867.65 across 27 records.

By nature of payment

  • Food and Beverage: $867.65 across 27 records.

Reporting-company totals (3 largest of 10)

  • Janssen Pharmaceuticals, Inc: $226.43 across 4 records.
  • Phathom Pharmaceuticals, Inc.: $124.92 across 1 record.
  • ABBVIE INC.: $100.85 across 4 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

2 years (graduated 2024)

CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2024

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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)

Jack Richard 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 Jack Richard 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 Providence and Rhode Island

267 active clinicians are listed under Physician Assistant with a practice address in Providence, RI (684 in Rhode Island).

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

Telehealth indicator in Providence

16.5% of these 267 clinicians have the CMS telehealth indicator.

58.1% of these 267 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 27 records totaling $867.65.

Manufacturer Payment Nature Product Type Amount ($)
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
TREMFYA General $150.00
Phathom Pharmaceuticals, Inc.
Food and Beverage
Cash or cash equivalent
VOQUEZNA General $124.92
ABBVIE INC.
Food and Beverage
In-kind items and services
LINZESS General $33.98
Takeda Pharmaceuticals U.S.A., Inc.
Food and Beverage
In-kind items and services
EOHILIA General $31.75
Intercept Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
OCALIVA General $29.72
Intercept Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
OCALIVA General $29.08
Gilead Sciences, Inc.
Food and Beverage
In-kind items and services
β€” General $28.99
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
TREMFYA General $28.28
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
TREMFYA General $27.63
Ardelyx, Inc.
Food and Beverage
In-kind items and services
IBSRELA General $26.80
Ardelyx, Inc.
Food and Beverage
In-kind items and services
IBSRELA General $26.28
Takeda Pharmaceuticals U.S.A., Inc.
Food and Beverage
In-kind items and services
EOHILIA General $25.86
Celltrion USA Inc.
Food and Beverage
In-kind items and services
VEGZELMA General $24.98
Salix Pharmaceuticals, a division of Bausch Health US, LLC
Food and Beverage
In-kind items and services
XIFAXAN General $24.34
ABBVIE INC.
Food and Beverage
In-kind items and services
SKYRIZI General $23.45
ABBVIE INC.
Food and Beverage
In-kind items and services
LINZESS General $23.33
Takeda Pharmaceuticals U.S.A., Inc.
Food and Beverage
In-kind items and services
ENTYVIO General $21.35
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
TREMFYA General $20.52
Salix Pharmaceuticals, a division of Bausch Health US, LLC
Food and Beverage
In-kind items and services
XIFAXAN General $20.31
Salix Pharmaceuticals, a division of Bausch Health US, LLC
Food and Beverage
In-kind items and services
XIFAXAN General $20.23
ABBVIE INC.
Food and Beverage
In-kind items and services
SKYRIZI General $20.09
Takeda Pharmaceuticals U.S.A., Inc.
Food and Beverage
In-kind items and services
ENTYVIO General $19.26
Sebela Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
SUFLAVE General $19.00
Gilead Sciences, Inc.
Food and Beverage
In-kind items and services
β€” General $17.95
Gilead Sciences, Inc.
Food and Beverage
In-kind items and services
β€” General $17.41

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-10-28
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES RI PA01719

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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 - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20250130002448

Enrollment State Jurisdiction

RI

PECOS Control ID

7810426129

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.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

University Gastroenterology, Llc

33 Staniford St, Providence, RI 029053105

Phone: 4014218800

Clinicians Sharing This Practice Address or Phone

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

21 listed
Dr. Paul Akerman , MD

Internal Medicine - Gastroenterology

NPI 1942302773

Doctor of Medicine (M.D.)

Samantha Capece , NP-C

Nurse Practitioner - Family

NPI 1669057311

Nurse Practitioner (Certified)

Dr. William Chen , MD

Internal Medicine - Gastroenterology

NPI 1467546051

Doctor of Medicine (M.D.)

Sandra Ferraz

Nurse Practitioner - Gerontology

NPI 1265026272
Bridget Fitzgibbon , FNP

Nurse Practitioner - Family

NPI 1679976187

Family Nurse Practitioner

Mary Fortuna-Silva , NP

Nurse Practitioner - Family

NPI 1306917521

Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2024

Physician Assistant (license number reported to NPPES: RI PA01719)

βœ…
NPI Profile Active July 15, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 15, 2024

Registered at 33 STANIFORD ST, PROVIDENCE, RI 029053105 (Tel: 4014218800)

πŸ“
Business Mailing Address (Initial Record) July 15, 2024

Registered at 36 WHETSTONE ST, WEST NEWBURY, MA 019851432 (Tel: 9789144086)

πŸ‘€
Provider Name / Credentials (Initial Record) July 15, 2024

Recorded as JACK RICHARD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2024

Physician Assistant

🟒
Initial NPI Registration & Enumeration July 15, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1730926940
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2024
Last Update: October 28, 2024
Sole Proprietor: No

Other Physician Assistants in Providence

All Physician Assistants in Providence

Mailing Address

36 Whetstone St

West Newbury, MA 019851432

Phone: 9789144086

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.