Dr Peter Karczmar, MD - Medicare Pulmonary Disease in Riverside, RI

Dr Peter Karczmar, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Riverside, Rhode Island. He went to Rutgers New Jersey Medical School and graduated in 1986 and has 38 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Brown Medicine, The Miriam Hospital and his current practice location is 375 Wampanoag Trl, Riverside, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 649-4070.

Dr Peter Karczmar is licensed to practice in Rhode Island (license number MD07447) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124015813.

Contact Information

Dr Peter Karczmar, MD
375 Wampanoag Trl,
Riverside, RI 02915-2232
(401) 649-4070
(401) 649-4071

Map and Direction




Physician's Profile

Full NameDr Peter Karczmar
GenderMale
SpecialityPulmonary Disease
Experience38 Years
Location375 Wampanoag Trl, Riverside, Rhode Island
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Peter Karczmar attended and graduated from Rutgers New Jersey Medical School in 1986
  NPI Data:
  • NPI Number: 1124015813
  • Provider Enumeration Date: 09/29/2005
  • Last Update Date: 01/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5092762351
  • Enrollment ID: I20050407001204

Medical Identifiers

Medical identifiers for Dr Peter Karczmar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124015813NPI-NPPES
7004233MedicaidRI
709004158OtherRIGROUP MEDICARE
110175069OtherRIRR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RS0012XInternal Medicine - Sleep Medicine MD07447 (Rhode Island)Secondary
207RP1001XInternal Medicine - Pulmonary Disease MD07447 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
The Miriam HospitalProvidence, RIHospital
Rhode Island HospitalProvidence, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Brown Medicine0446159776212
The Miriam Hospital6901796408184

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Peter Karczmar allows following entities to bill medicare on his behalf.
Entity NameBrown Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689626764
PECOS PAC ID: 0446159776
Enrollment ID: O20040219000354
Entity NameThe Miriam Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770520462
PECOS PAC ID: 6901796408
Enrollment ID: O20040624000947

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Peter Karczmar is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Peter Karczmar, MD
110 Elm St,
Providence, RI 02903-4626

Ph: (401) 443-4992
Dr Peter Karczmar, MD
375 Wampanoag Trl,
Riverside, RI 02915-2232

Ph: (401) 649-4070

Reviews and Comments


Internal Medicine Doctors in Riverside, RI

Tonslyn Toure, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 375 Wampanoag Trl, Riverside, RI 02915
Phone: 401-649-4090    Fax: 401-649-4091
Jonathan A Leviss, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 375 Wampanoag Trl, Riverside, RI 02915
Phone: 401-649-4020    Fax: 401-649-4021
Thomas D Denucci, M.D.
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 375 Wampanoag Trl, Suite 202a, Riverside, RI 02915
Phone: 401-649-4030    Fax: 401-649-4031
Kristen Tillquist, DO
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 375 Wampanoag Trl, Riverside, RI 02915
Phone: 401-649-4070    Fax: 401-649-4071
Reginald Y Gohh, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 375 Wampanoag Trl, Suite 302a, Riverside, RI 02915
Phone: 401-649-4060    Fax: 401-649-4061
Dr. Franklin D Mccool, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 375 Wampanoag Trl Ste 302b, Riverside, RI 02915
Phone: 401-649-4070    Fax: 401-649-4071
Dr. Lewena Maher, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 375 Wampanoag Trl, Riverside, RI 02915
Phone: 401-649-4040    Fax: 401-649-4041

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.