Active NPI
Jose M. Negron-Soto, M.D.
- Diagnostic Radiology Physician
- Pawtucket, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD13104
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110086874A | Medicaid | MA | |
| JN77480 | Medicaid | RI | |
| 001302601 | Other | RI | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
- Thomas Jefferson University Hospital
- Jefferson Einstein Philadelphia Hospital
- Jefferson Einstein Montgomery Hospital
- Beebe Medical Center
- Temple Health - Chestnut Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.22 of 100
- Quality
- 95.56
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.06 of 100
- 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.087546 | OH | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Intercoastal Medical Group Inc | Current | Accepting new patients | |
| Tower Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Medical Technology Transfer Corporation | Current | Accepting new patients | |
| Jefferson University Radiology Associates, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Rose Radiology Centers, LLC | Current | Accepting new patients | |
| Manatee Memorial Hospital L P | Current | Accepting new patients | |
| Manatee Memorial Hospital L P | Current | Accepting new patients | |
| Medical Technology Transfer Corporation | Current | Accepting new patients | |
| Manatee Memorial Hospital LP | Current | Accepting new patients | |
| Tower Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Jefferson University Radiology Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Tower Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Elite Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Jefferson University Physicians | Diagnostic Radiology | Current | Accepting new patients |
| Elite Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Advanced Imaging of Port Charlotte | Diagnostic Radiology | Past | 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.
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
Diagnostic Radiology
-
dba Jefferson Outpatient Imaging
- Radiology Clinic/Center
- Philadelphia, PA
- NPI 1578512224
Diagnostic Radiology
-
dba Einstein Psychiatry Assoc
- Psychiatry Physician
- Philadelphia, PA
- NPI 1760434468
-
- Family Medicine Physician
- Sarasota, FL
- NPI 1578537767
-
dba Manatee Memorial Hospital
- Other Specialist/Technologist
- Bradenton, FL
- NPI 1770505687
-
dba Harris Family Medical Center
- Primary Care Clinic/Center
- Melbourne, FL
- NPI 1104947217
-
- Internal Medicine Physician
- Voorhees, NJ
- NPI 1083039200
-
dba Jefferson Outpatient Imaging
- Radiology Clinic/Center
- Marlton, NJ
- NPI 1972169902
-
dba Coastal Vein Vascular Institute
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1366653818
-
- General Acute Care Hospital
- Lewes, DE
- NPI 1821196486
-
dba Chestnut Hill Hospital - Temple Health
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1437865953
-
- General Acute Care Hospital
- East Norriton, PA
- NPI 1104192590
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.