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

Matthew Ballenberger, MD

Individual provider Internal Medicine Physician · NPI 1497296685

Matthew Ballenberger, MD is a Pulmonary Disease in Riverside, Rhode Island. Qualified in 2017, 9 years ago. Practices with Rhode Island Hospital, a 428-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Connecticut, New York and Rhode Island.

Years since qualifying
9
Licensed in
CT, NY, RI
In the registry since
2017
Specialties on file
5
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

375 Wampanoag Trl
Riverside, RI 02915-2232
Phone: (401) 649-4070
Fax: (401) 649-4071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 20 York St, New Haven, CT 06510-3220 — (203) 688-4242
  • 100 E 77th St, New York, NY 10075-1850 — (212) 434-2140

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence MD19716 (RI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 73520 (CT)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence MD19716 (RI)
Sleep Medicine (Internal Medicine) Physician Taxonomy 207RS0012X · Licence MD19716 (RI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 306174 (NY)

Record details

NPI number1497296685
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2017
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024
Mailing addressDept 3010, Po Box 986524, Boston, MA 02298-6524

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Rhode Island Hospital — 428 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations12 on file with Medicare

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