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

Thomas Tedeschi

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114551371

Thomas Tedeschi is a Physician Assistant in Johnston, Rhode Island. Graduated from Eastern Virginia Medical School in 2020, 6 years ago. Practices with Prospect Chartercare Physicians LLC, a 70-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Rhode Island.

Years since qualifying
6
Trained at
Eastern Virginia Medical School
Licensed in
RI
In the registry since
2020
Specialties on file
2

Practice location Address checks out

1524 Atwood Ave Ste LL6
Johnston, RI 02919-3228
Phone: (401) 331-7400
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01565 (RI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114551371
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 26, 2020
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026
Mailing address1455 Ashland Cir, Norfolk, VA 23509-1203

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2020 (6 years in practice)
Group practice Prospect Chartercare Physicians Llc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Johnston