Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jack H Klie, MD

Individual provider Cardiovascular Disease Physician · NPI 1992876080

Mr. Jack H Klie, MD is a Cardiovascular Disease (Cardiology) in Providence, Rhode Island. Graduated from Tufts University School of Medicine in 1966, 60 years ago. Accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
60
Trained at
Tufts University School of Medicine
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

1 Randall Sq Ste 305
Providence, RI 02904-2709
Phone: (401) 521-0700
Fax: (401) 521-0906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 4568 (RI)

Record details

NPI number1992876080
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 13, 2006
Last updated in NPPESMarch 13, 2009

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1966 (60 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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