Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alva Curtis Poulos Jr., MD

Individual provider Family Medicine Physician · NPI 1376292193

Alva Curtis Poulos Jr., MD is a Family Practice in Cranston, Rhode Island. Qualified in 2022, 4 years ago. Practices with Coastal Medical Physicians Inc, a 219-clinician group and accepts Medicare assignment. Licensed in Rhode Island and South Carolina.

Years since qualifying
4
Licensed in
RI, SC
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1500 Pontiac Ave Ste 101
Cranston, RI 02920-4486
Phone: (401) 944-4300
Fax: (401) 464-4071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD20550 (RI)
Family Medicine Physician Taxonomy 207Q00000X · Licence MMD.87769 (SC)

Record details

NPI number1376292193
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 20, 2022
Last updated in NPPESMay 9, 2025
Certification dateApril 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Coastal Medical Physicians Inc — 219 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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