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Deactivated NPI 1932267606 Deactivated / Inactive NPI Male Practitioner

Dr. Jerald Ivan Kupperberg , MD

Pediatrics • Foster, RI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jerald Kupperberg has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 05, 2006
NPI Deactivation Date February 05, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Jerald Kupperberg, MD was a registered Pediatrics practicing in Foster, RI. Throughout an active medical career spanning 20 years, Dr. Kupperberg provided care at the practice location at 54 HOWARD HILL ROAD until profile deactivation on 2026-02-05.

Practice Location & Contact Primary Location

Practice Address

54 Howard Hill Road

Foster, RI 02825

Telephone 4013974638
Fax 4013974638
Associated Practice Facility / Clinic
🏢 Jerald I Kupperberg Md,inc. Facility NPI 1972869428

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Foster, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Foster, RI (340 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License RI MD05404

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 05, 2026

Record deactivated on February 05, 2026

NPI Profile Active October 04, 2013

NPI status registered as active in NPPES database

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Updated Practice Location October 04, 2013

Registered at 54 HOWARD HILL ROAD, FOSTER, RI 02825 (Tel: 4013974638)

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Updated Business Mailing Address October 04, 2013

Registered at 54 HOWARD HILL ROAD, FOSTER, RI 02825 (Tel: 4013974638)

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Provider Name / Credentials Updated October 04, 2013

Recorded as JERALD KUPPERBERG, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2013

Pediatrics (License #MD05404 in RI)

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Initial NPI Registration & Enumeration December 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932267606
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 05, 2006
Last Update: October 04, 2013
Deactivation Date: February 05, 2026

Mailing Address

54 Howard Hill Road

Foster, RI 02825

Phone: 4013974638

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.