Providence Interventional Associates II LLC
NPI 1306123476 · Vascular & Interventional Radiology Physician · Providence, RI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Providence Interventional Associates II LLC is a Vascular & Interventional Radiology Physician organization in Providence, RI (NPI 1306123476).
Provider details
- NPI number
- 1306123476
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jonah Licht, Owner(401) 277-9729
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nephrology Physician207RN0300X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-11-03
- Last updated
- 2025-06-13
- Certified
- 2025-06-13
Frequently asked questions
- What is Providence Interventional Associates II LLC's NPI number?
- Providence Interventional Associates II LLC's National Provider Identifier (NPI) is 1306123476, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Interventional Associates II LLC?
- Providence Interventional Associates II LLC is classified in the NPPES registry as Vascular & Interventional Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Providence Interventional Associates II LLC located?
- Providence Interventional Associates II LLC's practice location on file with NPPES is 100 Highland Ave Ste 100, Providence, RI 02906-2740.
- What is Providence Interventional Associates II LLC's phone number?
- The practice phone number listed in the NPPES registry for Providence Interventional Associates II LLC is (401) 277-9729.
- Does Providence Interventional Associates II LLC accept Medicare?
- Providence Interventional Associates II LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Providence Interventional Associates II LLC?
- The authorized official listed on Providence Interventional Associates II LLC's NPPES record is Jonah Licht, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Interventional Associates II LLC's NPI active?
- Yes — Providence Interventional Associates II LLC's NPI (1306123476) is active in the NPPES registry as of the last update on 2025-06-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.