Roger Niles Mennillo
MD | Pediatrics | Male
Roger Niles Mennillo, MD is a Warwick, Rhode Island based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Roger Niles Mennillo is
176 Toll Gate Rd, Suite 101, Warwick, Rhode Island - 02886-4482. He can be contacted on phone at
401-737-9270 and fax number 401-739-6413.
Roger Niles Mennillo is a sole proprietor of his business.
NPI number (Unique professional ID) for Roger Niles Mennillo is
1730155482 which was assigned by NPPES on 23 Feb, 2006 and it was last updated on 03 Feb, 2021.
Roger Niles Mennillo license number is
MD09221 for Pediatrics (208000000X) in Rhode Island.
Roger Niles Mennillo is a pediatrician who 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.
Complete Profile:
Roger Niles Mennillo basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Roger Niles Mennillo |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Roger Niles Mennillo address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 176 Toll Gate Rd, Suite 101
Warwick, RI, 02886-4482
United States |
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| Phone Number : | 401-737-9270 |
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| Fax Number : | 401-739-6413 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1730155482 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 23 Feb, 2006 |
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| Last Updated On : | 03 Feb, 2021 |
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Medicare Participation:
Roger Niles Mennillo participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 6406171396 |
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| Medicare Enrollment ID : | I20150218000265 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Duke University School Of Medicine |
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| Graduation Year : | 1988 |
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| Accepts Medicare? | Yes. Roger Niles Mennillo accepts medicare insurance. |
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Group Practice Association:
Roger Niles Mennillo is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Roger Niles Mennillo is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Coastal Medical Physicians Inc | 0345658316 | 99 | 176 Toll Gate Rd
Suite 101
Warwick, RI - 028864479
Ph: 4017379240 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Roger Niles Mennillo are as mentioned. Primary taxonomy code for Roger Niles Mennillo, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | MD09221 | RI |
Legacy Identifiers:
Other legacy medical identifiers of Roger Niles Mennillo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| RM51805 | MEDICAID | RI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 10 Davol Sq, Suite 400
Providence, RI, 02903-4754
United States |
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| Phone Number : | 401-421-4000 |
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| Fax Number : | 401-272-1456 |
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Business Location:
Patients can refer following map for directions to
Roger Niles Mennillo practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.