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

Individual provider Internal Medicine Physician · NPI 1093009086

Michael Prodromou, MD is a Critical Care (Intensivists) in Providence, Rhode Island. Qualified in 2011, 15 years ago. Practices with North Shore Medical Group of the Mount Sinai School of Medicine, a 323-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Rhode Island.

Years since qualifying
15
Licensed in
RI
In the registry since
2011
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

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-3985
Fax: (401) 444-3986
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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 MD14594 (RI)

Record details

NPI number1093009086
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 7, 2011
Last updated in NPPESMay 27, 2014
Mailing address17 Virginia Ave, Suite 107, Providence, RI 02905-4406

Medicare enrollment

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

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice North Shore Medical Group Of The Mount Sinai School Of Medicine — 323 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Providence