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

Haran Asher Mennillo, MD

Individual provider Pediatrics Physician · NPI 1073190187

Haran Asher Mennillo, MD is a Pediatric Medicine in Warwick, Rhode Island. Qualified in 2021, 5 years ago. Practices with Coastal Medical Physicians Inc, a 219-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
5
Licensed in
RI
In the registry since
2021
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

176 Toll Gate Rd Ste 101
Warwick, RI 02886-4479
Phone: (401) 737-9240
Fax: (401) 739-6413
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD19794 (RI)

Record details

NPI number1073190187
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2021
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024
Mailing address176 Toll Gate Rd Ste 101, Warwick, RI 02886-4479

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Coastal Medical Physicians Inc — 219 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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