Individual provider Active NPI

Julie Mazza, DO

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Providence, RI
National Provider Identifier
1104454883
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
DO01466 Issued in RI
Practice address
1085 N Main St
Providence, RI 02904-5719
Phone
(401) 415-4200
NPI assigned
Mar 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X DO01466 RI
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 1023801 MA
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 1023801 MA
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X DO01466 RI Primary

Addresses

Primary practice location

1085 N Main St
Providence, RI 02904-5719

Mailing address

1085 N Main St
Providence, RI 02904-5719

Other practice location 1

10 Emory St
Attleboro, MA 02703-3089
Phone (508) 222-0118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20250814003636 MA Practitioner - Internal Medicine 6204250061 Reassigns benefits to 1 organization
I20250814003906 RI Practitioner - Internal Medicine 6204250061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hopehealth Hospice and Palliative CareGroup PAC ID 4587659255, shared by 4 NPIs, 46 clinicians

Practice addresses (Care Compare)

10 Emory St
Attleboro, MA 02703-3089
Phone (401) 415-4618

1085 N Main St
Providence, RI 02904-5719
Phone (401) 415-4275

Hospital & facility affiliations

  • Hopehealth Hospice & Palliative Care Hospice, Attleboro, MA, CCN 221512
  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1023801MAMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hopehealth Hospice & Palliative Care CurrentSince Jul 10, 2025 Accepting new patients
Hopehealth Hospice & Palliative Care CurrentSince Jul 10, 2025 Accepting new patients

Locations

10 Emory St
Attleboro, MA 02703
Phone (401) 415-4618

1085 N Main St
Providence, RI 02904
Phone (401) 415-4200

Organizations & group practices 2

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.

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": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1104454883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045719",
            "telephone_number": "401-415-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Emory St",
            "address_purpose": "LOCATION",
            "city": "Attleboro",
            "state": "MA",
            "postal_code": "027033089",
            "country_code": "US",
            "telephone_number": "508-222-0118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZZA",
        "first_name": "JULIE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "RI",
            "license": "DO01466",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MA",
            "license": "1023801",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "MA",
            "license": "1023801",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "RI",
            "license": "DO01466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.