Individual provider Active NPI

Jose M. Negron-Soto, M.D.

  • Diagnostic Radiology Physician
  • Pawtucket, RI
National Provider Identifier
1083635437
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD13104 Issued in RI
Practice address
111 Brewster Street
Pawtucket, RI 02860-4400
Phone
(401) 729-2339
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35.087546 OH
Diagnostic Radiology Physician 2085R0202X MD13104 RI Primary

Addresses

Primary practice location

111 Brewster Street
Pawtucket, RI 02860-4400

Mailing address

111 Brewster Street
Wood BLDG #516
Pawtucket, RI 02860-4400
Phone (401) 729-3481

Other identifiers 3

IdentifierTypeStateIssuer
110086874AMedicaidMA
JN77480MedicaidRI
001302601OtherRIMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA, NJ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20070808000784 FL Practitioner - Diagnostic Radiology 9133123839 Reassigns benefits to 7 organizations
I20250915001488 PA Practitioner - Diagnostic Radiology 9133123839 Reassigns benefits to 3 organizations
I20260504005012 NJ Practitioner - Diagnostic Radiology 9133123839 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Michigan Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians
Einstein Practice Plan IncGroup PAC ID 2769395896, 774 clinicians

Practice addresses (Care Compare)

1101 Chestnut St
Philadelphia, PA 19107-3619
Phone (800) 533-3669

1101 Market St
FL 19
Philadelphia, PA 19107-2926

111 S 11TH St
Philadelphia, PA 19107-4824

2301 S Broad St
Philadelphia, PA 19148-3542
Phone (215) 952-7444

243 Hurffville Crosskeys Rd
Sewell, NJ 08080-4011
Phone (800) 321-9999

4900 Frankford Ave
Suite 2
Philadelphia, PA 19124-2618
Phone (215) 831-2000

50 E Township Line Rd
Medical Arts BLDG 2ND Floor
Elkins Park, PA 19027-2220
Phone (215) 663-6067

559 W Germantown Pike
East Norriton, PA 19403-4250

60 E Township Line Rd
Elkins Park, PA 19027-2220

60 E Townshipline Rd
Elkins Park, PA 19027-2220

609 W Germantown Pike
East Norriton, PA 19403-4250

834 Walnut St
Suite 110
Philadelphia, PA 19107-5109
Phone (215) 503-4779

850 Walnut St
Jefferson Outpatient Imaging
Philadelphia, PA 19107-5109
Phone (610) 831-0500

925 Chestnut St
Philadelphia, PA 19107-4204

925 Chestnut St
Suite 3
Philadelphia, PA 19107-4216
Phone (215) 955-8874

9880 Bustleton Ave
Philadelphia, PA 19115-2185
Phone (215) 456-8242

Einstein Surgical Assocs
700 West Germantown Pike
East Norriton, PA 19403-4250
Phone (484) 622-7800

Medical Arts Building G-01
Einstein Endocrinology Associates
Elkins Park, PA 19027-2220
Phone (215) 572-5200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.22 of 100Reported as group
Quality
95.56
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.087546OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Imaging LLC Diagnostic Radiology CurrentSince Jun 18, 2018 Accepting new patients
Intercoastal Medical Group Inc CurrentSince Nov 8, 2021 Accepting new patients
Tower Imaging LLC Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
Medical Technology Transfer Corporation Current Accepting new patients
Jefferson University Radiology Associates, LLC Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Rose Radiology Centers, LLC CurrentSince Aug 20, 2020 Accepting new patients
Manatee Memorial Hospital L P Current Accepting new patients
Manatee Memorial Hospital L P CurrentSince Oct 29, 2017 Accepting new patients
Medical Technology Transfer Corporation CurrentSince Aug 5, 2020 Accepting new patients
Manatee Memorial Hospital LP CurrentSince Oct 29, 2017 Accepting new patients
Tower Imaging LLC Diagnostic Radiology Current Accepting new patients
Jefferson University Radiology Associates LLC Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Tower Imaging LLC Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
Elite Imaging LLC Diagnostic Radiology CurrentSince Jun 18, 2018 Accepting new patients
Jefferson University Physicians Diagnostic Radiology CurrentSince Jul 4, 2025 Accepting new patients
Elite Imaging, LLC Diagnostic Radiology Past Accepting new patients
Advanced Imaging of Port Charlotte Diagnostic Radiology PastSince Jan 24, 2018 Accepting new patients
Proscan Radiology, LLC Diagnostic Radiology Past Accepting new patients

Locations

2999 NE 191st St
Ste 103
Aventura, FL 33180
Phone (305) 692-2222

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

3649 Cortez Rd W
Bradenton, FL 34210
Phone (941) 744-9000

1220 Oakfield Dr
Brandon, FL 33511
Phone (813) 655-1144

501 S Lincoln Ave
Ste 15
Clearwater, FL 33756
Phone (727) 446-6760

1215 Dunn Ave
Ste A
Jacksonville, FL 32218
Phone (904) 696-8400

1800 W Hibiscus Blvd
Ste 100
Melbourne, FL 32901
Phone (321) 676-3535

2020 Professional Center Dr
Orange Park, FL 32073
Phone (800) 220-4661

2625 Tamiami Trl
Ste 1
Pt Charlotte, FL 33952
Phone (941) 235-4646

921 S Beneva Rd
Sarasota, FL 34232
Phone (941) 365-7390

943 S Beneva Rd
Ste 306
Sarasota, FL 34232
Phone (941) 362-8644

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

4719 N Habana Ave
Tampa, FL 33614
Phone (813) 874-9769

2106 S Lois Ave
Tampa, FL 33629
Phone (813) 287-1191

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

3347 S State Road 7
Ste 100
Wellington, FL 33449
Phone (561) 795-5558

2229 N Commerce Pkwy
Ste 150
Weston, FL 33326
Phone (954) 349-0054

6900 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-6736

999 Route 73 N
Ste 101
Marlton, NJ 08053
Phone (856) 424-2929

243 Hurffville Crosskeys Rd
Sewell, NJ 08080
Phone (609) 680-9263

1101 Market St
Fl 19
Philadelphia, PA 19107
Phone (215) 481-6836

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

3 Crescent Dr
Ste 1002
Philadelphia, PA 19112
Phone (215) 503-4900

850 Walnut St
Philadelphia, PA 19107
Phone (215) 503-4900

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 22

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1083635437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BREWSTER STREET",
            "address_2": "WOOD BLDG #516",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604400",
            "telephone_number": "401-729-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BREWSTER STREET",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604400",
            "telephone_number": "401-729-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGRON-SOTO",
        "first_name": "JOSE",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.087546",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "MD13104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110086874A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "JN77480",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "001302601",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.