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

Nina Tatevian, MDPHD

Individual provider Pediatric Pathology Physician · NPI 1154377000

Nina Tatevian, MDPHD is a Pathology in Providence, Rhode Island. Qualified in 1973, 53 years ago. Practices with Affinity Physicians LLC, a 734-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
53
Licensed in
RI
In the registry since
2006
Specialties on file
2

Practice location Address checks out

101 Dudley St Pathology Dept
Providence, RI 02905-2401
Phone: (401) 453-7655
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 455 Toll Gate Rd, Warwick, RI 02886 — (401) 737-7000

Specialties & licences

Anatomic Pathology Physician (primary) Taxonomy 207ZP0101X · Licence MD10517 (RI)
Pediatric Pathology Physician Taxonomy 207ZP0213X · Licence MD10517 (RI)

Record details

NPI number1154377000
Entity typeIndividual (Type 1)
GenderFemale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedMay 25, 2006
Last updated in NPPESAugust 5, 2025
Certification dateJuly 31, 2025

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 1973 (53 years in practice)
Group practice Affinity Physicians Llc. — 734 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Providence