Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jason Bashir Boudjouk, MD

Individual provider Internal Medicine Physician · NPI 1255376455

Dr. Jason Bashir Boudjouk, MD is an Internal Medicine in Warwick, Rhode Island. Qualified in 2001, 25 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Rhode Island.

Years since qualifying
25
Licensed in
RI
In the registry since
2006
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

190 Commerce Dr
Warwick, RI 02886-2430
Phone: (401) 921-5970
Fax: (401) 921-5973
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD12133 (RI)

Record details

NPI number1255376455
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 19, 2006
Last updated in NPPESAugust 12, 2021
Certification dateAugust 12, 2021
Mailing address1 Ashley Dr, Lincoln, RI 02865-1434

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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