NPPES file of Aug 9, 2026

Kathleen Ann O'Heelan, DO

Family Medicine Physician · Providence, RI

Kathleen Ann O'Heelan, DO is a family medicine physician with a practice address in Providence, Rhode Island, and NPI 1174513451, issued on Oct 26, 2005. Check the license (Rhode Island DO00601, as entered in NPPES) on the Rhode Island Board of Medical Licensure and Discipline; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1174513451
Name
Kathleen Ann O'Heelan
Credential
DO
Primary taxonomy
Family Medicine Physician 207Q00000X
License number
DO00601 RI
Self-reported in NPPES; status is on the state search
Practice location
355 Prairie Ave, Providence, RI 02905
Phone
(401) 415-9000
Enumerated
Oct 26, 2005
Record last updated
Dec 28, 2023
Medicaid ID
1174513451 RI
Medicare enrollment
Enrolled (PECOS I20050924000274); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 355 Prairie Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Diana Afonso, PAPhysician Assistant1750690392
  2. Aliia Agliullina, MDPediatrics Physician1063116416
  3. Byron AlexPediatrics Physician1114212404
  4. Myah Audette, NPFamily Nurse Practitioner1841656204
  5. Stephanie Avila, CNM, NP-CAdvanced Practice Midwife1184643363
  6. Ingrid AyalaCounselor1386115095

Verify Kathleen Ann O'Heelan in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersRhode Island Board of Medical Licensure and Discipline
    Search for license DO00601
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Rhode Island license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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95% fewer Medicare Part D claims than the average family medicine physician in 2024

190 Medicare Part D claims for 89 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D.

  1. Kathleen O'Heelan190
  2. Specialty average3,544

Most prescribed

  1. Ibuprofen16 claims
  2. Amoxicillin-Clavulanate Potass12 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Bills Medicare through one group practice

  1. The Providence Community Health Centers Inc.Providence, RI

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Kathleen Ann O'Heelan among 475 family medicine physician records in Rhode Island

Kathleen Ann O'Heelan, DO is one of 475 family medicine physician records with a practice address in Rhode Island. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 88% newer
  • In a Medicare fileYes · 76% of these records are
  • In the CMS Doctors and Clinicians fileYes · 59% of these records are
  • Graduated1991 · median 2008 among the 282 with a school on file
  • Record last updated2023 · 41% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Rhode Island practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Family Medicine Physician providers in Rhode Island

There are 475 family medicine physician records in Rhode Island.

The 8 family medicine physician records with the nearest ZIP codes

  1. Tracey Cohen, M.D.Providence, RI 029051760402903
  2. Frank Fallon, D.O.Cranston, RI 029051609861053
  3. Zein Farhat, MDProvidence, RI 029051871955369
  4. Noelle Lee, DOProvidence, RI 029051548468119
  5. Sheldon Malcolm, DOProvidence, RI 029051104054261
  6. Regina Plover, MDCranston, RI 029051881625788
  7. Courtney Scanlon, MDProvidence, RI 029051932635562
  8. Jeanne Swen, M.D.Cranston, RI 029051093888919

Common questions

What is Kathleen Ann O'Heelan, DO's NPI number?

Kathleen Ann O'Heelan, DO's National Provider Identifier (NPI) is 1174513451, issued on Oct 26, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Kathleen Ann O'Heelan, DO located?

The NPPES record lists a practice address at 355 Prairie Ave, Providence, RI, 02905. Phone: (401) 415-9000. Providers update this record themselves, so call before visiting.

How can I verify Kathleen Ann O'Heelan, DO's license?

NPPES lists Rhode Island license number DO00601, as entered by the provider. Search the Rhode Island Board of Medical Licensure and Discipline at https://healthri.mylicense.com/Verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Kathleen Ann O'Heelan, DO prescribe under Medicare Part D?

In 2024, Kathleen Ann O'Heelan, DO had 190 Medicare Part D claims for 89 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.