Providence Interventional Associates II LLC
NPI 1497220412 · Ambulatory Surgical Clinic/Center · Providence, RI
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Providence Interventional Associates II LLC is a Ambulatory Surgical Clinic/Center organization in Providence, RI (NPI 1497220412).
Provider details
- NPI number
- 1497220412
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jonah Licht, Owner(401) 277-9729
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
7 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
943 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Insertion of Needle And/Or Tube Into Hemodialysis Circuit and Balloon Dilation of Dialysis Segment With Review By Radiologist36902 | 393 | $2,457 |
| Dialysis Circuit, Introduction of Needle(s) And/Or Catheter(s), With Diagnostic Angiography of the Dialysis Circuit, Including All Direct Puncture(s) and Catheter Placement(s), Injection(s) of Contrast, All Necessary Imaging From the Arterial Anastomosis aC7513 | 119 | $948 |
| Removal And/Or Dissolving of Blood Clot in Hemodialysis Circuit and Balloon Dilation of Dialysis Segment With Imaging Review By Radiologist, With Balloon Tube36905 | 71 | $5,814 |
| Removal of Tunneled Central Venous Tube36589 | 65 | $318 |
| Replacement of Tunneled Central Venous Tube36581 | 57 | $1,359 |
| Insertion of Needle And/Or Tube Into Hemodialysis Circuit With Review By Radiologist |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Providence Access Care
Registry dates
- Enumerated
- 2018-10-05
- 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 1497220412, 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 Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- 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 (1497220412) 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.