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Active NPI 1184930836 Individual Practitioner Female Practitioner

Kely Cristina Jeronimo , PA

Physician Assistant • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kely Jeronimo, PA is a certified Physician Assistant practicing in Providence, RI. With approximately 17 years of clinical experience since completing medical education in 2009, Kely Jeronimo delivers high-quality medical care to the local community at 164 SUMMIT AVE.

Kely Jeronimo is affiliated with Rhode Island Medical Imaging Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include aspiration of fluid from chest cavity using imaging guidance, drainage of fluid from abdominal cavity using imaging guidance, insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

164 Summit Ave
Dept Of Surgery

Providence, RI 029063418

Telephone 7742874181
Associated Practice Facility / Clinic
🏢 The Miriam Hospital Facility NPI 1487649430

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Providence, RI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs +6.4 yrs vs City Avg
City Avg: 10.6 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
267 Specialists

Practicing in Providence, RI (687 Statewide)

Telehealth Adoption Rate
16.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
81.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jeronimo (17 Years) 17 Yrs
Providence Specialty Average (10.6 Years) 10.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
32555 Aspiration of fluid from chest cavity using imaging guidance
16 14 $478.50 $90.10
49083 Drainage of fluid from abdominal cavity using imaging guidance
15 13 $540.33 $88.30
36573 Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older
15 14 $283.00 $68.44

Medical Specialties & State Licenses

CMS Verified: 2020-09-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License RI PA549

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License MA PA7655

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Rhode Island Medical Imaging Inc

1 Kettle Point Ave, East Providence, RI 029145375

Phone: 4016263900

Rhode Island Medical Imaging Inc

200 High Service Ave, North Providence, RI 029045113

Phone: 4014563000

Secondary Practice Locations

125 Metro Center Blvd Ste 2000

Warwick, RI 028861785

Phone: 4014322520

211 Park St

Attleboro, MA 027033137

Phone: 5082225200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Halina Kuc-Mazgaj

Nurse Practitioner - Family

NPI 1003103185
Dr. Karl Herman , MD

Internal Medicine

NPI 1003253063

Doctor of Medicine (M.D.)

Dr. Muhammad Baig , MD

Internal Medicine - Cardiovascular Disease

NPI 1003256587

Doctor of Medicine (M.D.)

Leanne Laparle , LICSW

Social Worker - Clinical

NPI 1003512583

Licensed Independent Clinical Social Worker

Dr. Thomas Crain , MD

Internal Medicine - Cardiovascular Disease

NPI 1003871856

Doctor of Medicine (M.D.)

Dr. James Atkinson , MD

Internal Medicine

NPI 1003894825

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address April 15, 2019

Registered at 125 METRO CENTER BLVD STE 2000, WARWICK, RI 028861785 (Tel: 4014322520)

NPI Profile Active August 19, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location August 19, 2010

Registered at 164 SUMMIT AVE, DEPT OF SURGERY, PROVIDENCE, RI 029063418 (Tel: 7742874181)

📍
Updated Business Mailing Address August 19, 2010

Registered at 164 SUMMIT AVE, DEPT. OF SURGERY, PROVIDENCE, RI 029062853 (Tel: 7742874181)

👤
Provider Name / Credentials Updated August 19, 2010

Recorded as KELY JERONIMO, P.A

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2010

Physician Assistant (License #PA549 in RI)

🟢
Initial NPI Registration & Enumeration August 19, 2010

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: 1184930836
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2010
Last Update: September 11, 2020
Sole Proprietor: No

Mailing Address

125 Metro Center Blvd Ste 2000

Warwick, RI 028861785

Phone: 4014322520

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.