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

Individual provider Family Medicine Physician · NPI 1104566082

Pauline Helene Lauper Bagatelas, MD is a Family Practice in Pawtucket, Rhode Island. Qualified in 2022, 4 years ago. Practices with Blackstone Valley Community Health Care Inc, a 48-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
4
Licensed in
RI
In the registry since
2022
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

111 Brewster St
Pawtucket, RI 02860-4400
Phone: (401) 729-2304
Fax: (401) 729-2923
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 455 Toll Gate Rd, Warwick, RI 02886-2759 — (401) 737-7010

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD20798 (RI)

Record details

NPI number1104566082
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2022
Last updated in NPPESJuly 7, 2025
Certification dateJuly 7, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Blackstone Valley Community Health Care Inc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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