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Active NPI 1073190187 Individual Practitioner Male Practitioner

Dr. Haran Asher Mennillo , MD

Pediatrics • Warwick, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Haran Mennillo, MD is a certified Pediatrics practicing in Warwick, RI. With approximately 5 years of clinical experience since completing medical education in 2021, Dr. Mennillo delivers high-quality medical care to the local community at 176 TOLL GATE RD STE 101.

Dr. Mennillo is affiliated with Coastal Medical Physicians Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

176 Toll Gate Rd Ste 101

Warwick, RI 028864479

Telephone 4017379240
Fax 4017396413
Associated Practice Facility / Clinic
🏢 Toll Gate Pediatrics, Inc. Facility NPI 1184766008

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Warwick, RI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -4.8 yrs vs City Avg
City Avg: 9.8 Yrs
State Avg: 17.6 Yrs
Regional Practice Density
25 Specialists

Practicing in Warwick, 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

Clinical Seniority & Experience Comparison

Dr. Mennillo (5 Years) 5 Yrs
Warwick Specialty Average (9.8 Years) 9.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-06-20
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License RI MD19794

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.

Hospital & Practice Group Affiliations

Coastal Medical Physicians Inc

176 Toll Gate Rd, Warwick, RI 028864479

Phone: 4017379240

Practice Associates & Co-Workers

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

12 Associated Practitioners
NPI 1003916875

Doctor of Medicine (M.D.)

NPI 1417014804

Doctor of Medicine (M.D.)

NPI 1558947366

Doctor of Medicine (M.D.)

NPI 1578857611

Doctor of Medicine (M.D.)

Cynthia Lover , LICSW

Social Worker - Clinical

NPI 1669583795

Licensed Independent Clinical Social Worker

NPI 1669674750

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location June 20, 2024

Registered at 176 TOLL GATE RD STE 101, WARWICK, RI 028864479 (Tel: 4017379240)

📍
Updated Business Mailing Address June 20, 2024

Registered at 176 TOLL GATE RD STE 101, WARWICK, RI 028864479 (Tel: 4017379240)

👤
Provider Name / Credentials Updated June 20, 2024

Recorded as HARAN MENNILLO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2024

Pediatrics (License #MD19794 in RI)

NPI Profile Active March 25, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 25, 2021

Registered at 101 NICOLLS ROAD, STONY BROOK MEDICINE HSC LEVEL 11 RM 040, STONY BROOK, NY 11794 (Tel: 6314442020)

📍
Updated Business Mailing Address March 25, 2021

Registered at 101 NICOLLS ROAD, STONY BROOK MEDICINE HSC LEVEL 11 RM 040, STONY BROOK, NY 11794 (Tel: 6314442020)

👤
Provider Name / Credentials Updated March 25, 2021

Recorded as HARAN MENNILLO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 25, 2021

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: 1073190187
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2021
Last Update: June 20, 2024
Sole Proprietor: No

Mailing Address

176 Toll Gate Rd Ste 101

Warwick, RI 028864479

Phone: 4017379240

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.