Jeffrey Cumplido, MD - Medicare Internal Medicine in East Providence, RI

Jeffrey Cumplido, MD is a medicare enrolled "Internal Medicine" physician in East Providence, Rhode Island. He went to Tufts University School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Coastal Medical Physicians Inc and his current practice location is 900 Warren Ave Ste 400, East Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 331-1221.

Jeffrey Cumplido is licensed to practice in Rhode Island (license number MD15811) 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 1881008480.

Contact Information

Jeffrey Cumplido, MD
900 Warren Ave Ste 400,
East Providence, RI 02914-1430
(401) 331-1221
(401) 751-8003

Map and Direction




Physician's Profile

Full NameJeffrey Cumplido
GenderMale
SpecialityInternal Medicine
Experience10 Years
Location900 Warren Ave Ste 400, East Providence, 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:
  • Jeffrey Cumplido attended and graduated from Tufts University School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1881008480
  • Provider Enumeration Date: 06/12/2014
  • Last Update Date: 04/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5991922262
  • Enrollment ID: I20170622002727

Medical Identifiers

Medical identifiers for Jeffrey Cumplido such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881008480NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD15811 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Amedisys Home Health CareWarwick, RIHome health agency
Home & Hospice Care Of Rhode IslandProvidence, RIHospice
The Miriam HospitalProvidence, RIHospital
Rhode Island HospitalProvidence, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Coastal Medical Physicians Inc0345658316150

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. Jeffrey Cumplido allows following entities to bill medicare on his behalf.
Entity NameLifespan Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407116643
PECOS PAC ID: 2567455082
Enrollment ID: O20121029000368
Entity NameCoastal Medical Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780273540
PECOS PAC ID: 0345658316
Enrollment ID: O20210427001413

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. Jeffrey Cumplido 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
Jeffrey Cumplido, MD
10 Davol Sq Ste 400,
Providence, RI 02903-4760

Ph: (401) 421-4000
Jeffrey Cumplido, MD
900 Warren Ave Ste 400,
East Providence, RI 02914-1430

Ph: (401) 331-1221

Reviews and Comments


Internal Medicine Doctors in East Providence, RI

Matthew J Franco, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 900 Warren Ave, Suite 401, East Providence, RI 02914
Phone: 800-508-4908    Fax: 401-228-6236
Mr. Michael F Gilson, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 950 Warren Ave, 2nd Floor, East Providence, RI 02914
Phone: 401-606-1004    Fax: 401-606-1153
Dr. Christopher Song, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 950 Warren Ave, East Providence, RI 02914
Phone: 401-606-1004    Fax: 401-606-1153
Dr. Ricardo Rafael Correa Marquez, M.D
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 900 Warren Avenue, Suite 300, East Providence, RI 02914
Phone: 786-246-5719    
May Min, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 950 Warren Ave Ste 301, East Providence, RI 02914
Phone: 401-606-4260    
Prerna Ganjoo, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 318 Waterman Ave, East Providence, RI 02914
Phone: 401-438-5950    Fax: 401-435-6700
Mordecai Jeremiah Stolk, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 318 Waterman Ave, East Providence, RI 02914
Phone: 401-438-5950    Fax: 401-435-6700

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.