THE MIRIAM HOSPITAL – NPI #1831362813
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

THE MIRIAM HOSPITAL is a provider located in PROVIDENCE, RI. NPPES has assigned the NPI number 1831362813 to THE MIRIAM HOSPITAL on April 10, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

The NPI profile was last updated on Mar 18, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THE MIRIAM HOSPITAL below.

NPI Profile for
THE MIRIAM HOSPITAL

NPI Number
1831362813
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THE MIRIAM HOSPITAL
Primary location
180 CORLISS ST STE C
PROVIDENCE, RI 02904-2602
Phone: (401) 793-4636 Fax: (401) 793-4639
1 Other location(s):
164 Summit Ave
Providence, RI 02906-2853
Phone: (401) 793-4636
Mailing address
15 LA SALLE SQ
PROVIDENCE, RI 02903-1814
Phone: Fax: (401) 444-5462
Organization Subpart
No
Authorized Official
PETER MARKELL
E VP & CFO
Phone: (401) 444-7914
Updated
Certification Date
Mar 18, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for THE MIRIAM HOSPITAL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidRITM70395
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0505X
- Family Medicine / Adult Medicine (Primary)
208800000X
- Urology
207Q00000X
- Family Medicine
103TC0700X
- Psychologist / Clinical

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.