James Padbury M.D.
About this NPIWhat this record shows.
NPI 1275516544 is registered to James Padbury M.D., a Neonatal-Perinatal Medicine Physician practising at 101 Dudley St in Providence, Rhode Island. Neonatal-Perinatal Medicine Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. James Padbury M.D. has been enumerated in the National Provider Identifier (NPI) registry since 2005.
Your brand here.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Other
- 005295RI· Issued by BLUE CHIP OF RI
- 47-00014· Issued by UHPNE,INC
- 6829RI· Issued by BLUE CROSS OF RI
Medicaid
- 7004905RI
Source: NPPES public registry.
Medicare enrollment
This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Practitioner
- I20051031000517Pediatric MedicineRI
- I20220317002439Pediatric MedicineCA
Source: CMS PECOS public enrollment file.
Insurance & acceptsHow to confirm coverage.
The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans James Padbury M.D. accepts. To confirm in-network status with your specific health plan, contact James Padbury M.D. directly at (401) 274-1122.
Frequently asked
Yes. NPI 1275516544 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.
Neonatal-Perinatal Medicine Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.
The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (401) 274-1122.
An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. James Padbury M.D. is a Type-1 individual NPI.