Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
NORTHERN RHODE ISLAND MEDICAL GROUP, PC
Active
Organization
NORTHERN RHODE ISLAND MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FATHALLA M MASHALI MD (PRESIDENT)
(401) 490-2130
Entity
Organization
Contact information
Practice address
25 JOHN A CUMMINGS WAY, NORTHERN RHODE ISLAND MEDICAL GROUP, PC, WOONSOCKET, RI 02895-3224
(401) 766-6066
Mailing address
42 HEMINGWAY DR, RIVERSIDE, RI 02915-2224
(401) 490-2130
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9003525
—
RI
05
—
9732730
—
MA
Enumeration date
07/20/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up