NPIMap

Individual provider Active NPI

Tatiana Antoci, MD

  • Family Medicine Physician
  • Riverside, RI
National Provider Identifier
1447435938
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
60315224 Issued in WA
Practice address
501 Wampanoag TRL Unit 102
Riverside, RI 02915-1507
Phone
(401) 435-3325
Fax
(401) 435-3327
NPI assigned
Jan 3, 2008
Last updated
Apr 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 60315224 WA Primary

Addresses

Primary practice location

501 Wampanoag TRL Unit 102
Riverside, RI 02915-1507

Mailing address

803 E Lincoln Ave
Sunnyside, WA 98944-2383
Phone (509) 643-6503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, RI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140909002796 WA Practitioner - Family Practice 1557407202 Reassigns benefits to 2 organizations
I20201208002931 RI Practitioner - Family Practice 1557407202 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prospect Chartercare Physicians LLCGroup PAC ID 0840416657, 71 clinicians

Practice addresses (Care Compare)

1 Office Pkwy
East Providence, RI 02914-1643
Phone (401) 431-9219

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60315224WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chartercare Physicians, LLC Family Medicine CurrentSince May 28, 2025 Accepting new patients
Sunnyside Community Hospital Association Family Medicine CurrentSince Aug 17, 2019 Accepting new patients
Sunnyside Community Hospital Association Current Accepting new patients
Prospect Chartercare Physicians, LLC Family Medicine CurrentSince Dec 7, 2020 Accepting new patients
SHC Medical Center Toppenish CurrentSince Apr 1, 2020 Accepting new patients
Sunnyside Community Hospital Assocation CurrentSince Aug 17, 2019 Accepting new patients
Deming Clinic Corporation Family Medicine Past Accepting new patients

Locations

1681 Cranston St
Cranston, RI 02920
Phone (401) 944-6889

1 Office Pkwy
East Providence, RI 02914
Phone (401) 270-7110

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

501 Wampanoag Trl
Ste 102
Riverside, RI 02915

501 Wampanoag Trl
Unit 102
Riverside, RI 02915
Phone (401) 435-3325

501 Wampanoag Trl
Unit 2
Riverside, RI 02915
Phone (401) 435-3327

355 Chardonnay Ave
Prosser, WA 99350
Phone (509) 781-6366

2705 E Lincoln Ave
Sunnyside, WA 98944
Phone (509) 836-4848

2925 Allen Rd
Sunnyside, WA 98944
Phone (509) 837-4949

803 E Lincoln Ave
Sunnyside, WA 98944
Phone (509) 837-3933

502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1596/brand/1/csg/43/fhir/r4

Organizations & group practices 8

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

Hospital & facility affiliations 4

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": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1447435938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 E LINCOLN AVE",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989442383",
            "telephone_number": "509-643-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 WAMPANOAG TRL UNIT 102",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029151507",
            "telephone_number": "401-435-3325",
            "fax_number": "401-435-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTOCI",
        "first_name": "TATIANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-03",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "60315224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, RI

Sources for this page

Verify at the official NPI Registry.