Individual provider Active NPI

Sophia Panaccione

  • Infectious Disease Physician
  • Providence, RI
National Provider Identifier
1306307376
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
DO01458 Issued in RI
Practice address
593 Eddy St
Providence, RI 02903-4923
Phone
(401) 444-7793
Fax
(401) 444-8179
NPI assigned
Mar 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS022198 PA
Infectious Disease Physician 207RI0200X DO01458 RI Primary

Addresses

Primary practice location

593 Eddy St
Providence, RI 02903-4923

Mailing address

Dept 3010, PO Box 986524
Boston, MA 02298-6524
Phone (401) 443-4992

Other practice location 1

180 Corliss St Ste E1
Providence, RI 02904-2602
Phone (401) 793-2928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250521001214 RI Practitioner - Infectious Disease 3173850674 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
University of New England, College of Osteo Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Miriam HospitalGroup PAC ID 6901796408, 178 clinicians
Brown MedicineGroup PAC ID 0446159776, 220 clinicians
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians

Practice addresses (Care Compare)

180 Corliss St
Suite E1
Providence, RI 02904-2602
Phone (401) 793-2928

593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-4741

Hospital & facility affiliations

  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO01458RIMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brown Medicine CurrentSince Jul 1, 2025 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Affinity Physicians LLC. Internal Medicine Current Accepting new patients
Lifespan Physician Group Inc CurrentSince Jan 1, 2026 Accepting new patients
The Miriam Hospital CurrentSince Jul 1, 2025 Accepting new patients
Brown Medicine Internal Medicine Current Accepting new patients
The Miriam Hospital CurrentSince Jul 1, 2025 Accepting new patients
Brown Medicine Internal Medicine Past Accepting new patients
The Miriam Hospital Past Accepting new patients

Locations

11 Friendship St
Newport, RI 02840
Phone (401) 845-1110

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

180 Corliss St
Ste E2
Providence, RI 02904
Phone (401) 793-2928

593 Eddy St
Providence, RI 02903

1125 N Main St
Providence, RI 02904
Phone (401) 793-2928

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

180 Corliss St
Ste E1
Providence, RI 02904
Phone (401) 793-2928

375 Wampanoag Trl
Riverside, RI 02915
Phone (401) 649-4010

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJFJAA
  • Direct secure messaging: spanaccione@direct.carene.org

Organizations & group practices 10

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": "1553904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1306307376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 3010, PO BOX 986524",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022986524",
            "telephone_number": "401-443-4992",
            "fax_number": "401-784-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-444-7793",
            "fax_number": "401-444-8179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Corliss St Ste E1",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029042602",
            "country_code": "US",
            "telephone_number": "401-793-2928",
            "fax_number": "401-793-7401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANACCIONE",
        "first_name": "SOPHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-30",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS022198",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "RI",
            "license": "DO01458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.