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Dr. David M Bourassa , MD

Pediatrics β€’ Woonsocket, RI

Active NPI 1215992870 Individual Practitioner Male Practitioner
Practice location in NPPES

450 Clinton Street
Woonsocket, RI 02895

Call 4017674100 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

450 Clinton Street

Woonsocket, RI 02895

Telephone 4017674100
Fax 4012356894
Organization at the Same NPPES Address or Phone
Thundermist Health Center Facility NPI 1265190292

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

NPPES lists 3 distinct additional practice-address records in Narragansett, RI; Wakefield, RI; West Warwick, RI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

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

30-day fills

13 standardized 30-day fills in 2023

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$153 in 2023

The total cost of these prescriptions in 2023, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2023.

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

2006

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. Bourassa 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. Bourassa 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 Woonsocket and Rhode Island

Billing and prescribing volume is not a quality rating.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Bourassa are from 2023.

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

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Part D Prescribers (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2023.

CMS Part D Β· Data Year 2023
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Methylphenidate Er Methylphenidate Hcl 13 390 $152.54 β€”

Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-10-29
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES RI MD09354

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

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
7005698 (RI)

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

I20060622000203

Enrollment State Jurisdiction

RI

PECOS Control ID

8123030772

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.

Secondary Practice Locations

186 Providence St

West Warwick, RI 028932508

Phone: 4017674100

360 Kingstown Rd

Narragansett, RI 028823258

Phone: 4017896492

1 River St

Wakefield, RI 028793214

Phone: 4017674100

Clinicians Sharing This Practice Address or Phone

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

40 listed
Kimberly Ainsworth , FNP

Nurse Practitioner - Family

NPI 1508492208

Family Nurse Practitioner

Dr. Saman Ali , MD

Internal Medicine

NPI 1730414863

Doctor of Medicine (M.D.)

Amanda Anacleto , APRN CNP FNP

Nurse Practitioner - Family

NPI 1629846860

APRNCNPFNP

Dr. Roberto Baca , DNP, ARNP, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1669808473

Doctor of Nursing Practice, Advanced Registered Nurse Practitioner, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Jennifer Belfry , FNP

Nurse Practitioner - Family

NPI 1285075143

Family Nurse Practitioner

Dr. Linda Berman , MD

Family Medicine

NPI 1275591661

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location March 29, 2018

Registered at 450 CLINTON STREET, WOONSOCKET, RI 02895 (Tel: 4017674100)

πŸ“
Updated Business Mailing Address March 29, 2018

Registered at 171 SERVICE AVENUE, WARWICK, RI 02886 (Tel: 4017674100)

πŸ‘€
Provider Name / Credentials Updated March 29, 2018

Recorded as DAVID BOURASSA, M.D.

βœ…
NPI Profile Active January 05, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 05, 2012

Registered at 450 CLINTON, THUNDERMIST HEALTH CENTER, WOONSOCKET, RI 02895 (Tel: 4017674100)

πŸ“
Business Mailing Address (Initial Record) January 05, 2012

Registered at 450 CLINTON ST, THUNDERMIST HEALTH CENTER, WOONSOCKET, RI 028953207 (Tel: 4017674100)

πŸ‘€
Provider Name / Credentials (Initial Record) January 05, 2012

Recorded as DAVID BOURASSA, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2012

Pediatrics (license number reported to NPPES: RI MD09354)

🟒
Initial NPI Registration & Enumeration April 18, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1215992870
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2006
Last Update: October 29, 2025
Sole Proprietor: No

Mailing Address

171 Service Avenue

Warwick, RI 02886

Phone: 4017674100

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.