Harry Michael Iannotti, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD04154 Issued in RI

Practice address

1165 N Main St
Ste. 200
Providence, RI 02904-5740

Phone

(401) 521-4333

Fax

(401) 521-4377

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI, MA2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Providence Urology, LLC

  • Urology Physician
  • Providence, RI
  • NPI 1255386868

  MA

  Medicare reassignment Authorized official
• Brown Urology, Inc.

  • Urology Physician
  • Providence, RI
  • NPI 1467973099
  Medicare reassignment NPD
• Brown Urology, Inc.

  • Radiation Oncology Physician
  • Providence, RI
  • NPI 1184303984
  NPD
• Brown Urology, Inc.

  • Ambulatory Surgical Clinic/Center
  • Providence, RI
  • NPI 1336658145

  Urology

  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1154360469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 NORTH MAIN STREET",
            "address_2": "SUITE 200",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02904",
            "telephone_number": "401-521-4333",
            "fax_number": "401-521-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 N MAIN ST",
            "address_2": "STE. 200",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045740",
            "telephone_number": "401-521-4333",
            "fax_number": "401-521-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IANNOTTI",
        "first_name": "HARRY",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "RI",
            "license": "MD04154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9020353",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• I for an Eye, LLC
• Marta Iachetta, M.ED., LMFT, CSAC
• Alerino M Iacobbo, OD
• Susan M Iacono, BA
• Cherylee Ann Iannetta, OTA
• Maria Eleanor Iannotti, MD
• Arianna Iannuccilli
• Giancarlo Iannuccilli
• Mark Iannuccilli, LMHC
• Gabriel Ibarra

• Urology Physician in Providence, RI
• Providers in Providence, RI by specialty
• Urology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.