Provider Demographics
NPI:1285862433
Name:TOMPKINS, ANDREW JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:JAMES
Last Name:TOMPKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:827 N MAIN ST STE 4
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02904-5751
Mailing Address - Country:US
Mailing Address - Phone:401-383-5710
Mailing Address - Fax:401-453-9078
Practice Address - Street 1:827 N MAIN ST STE 4
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904-5751
Practice Address - Country:US
Practice Address - Phone:401-383-5710
Practice Address - Fax:401-453-9078
Is Sole Proprietor?:No
Enumeration Date:2009-06-26
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILP01691208600000X, 208800000X
MA273445208800000X
RIMD14748208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI4803925OtherAETNA
MA110130190AMedicaid
RI1285862433Medicaid
MAS400444010OtherMEDICARE PTAN