Tatiana Antoci, MD
Individual provider Active NPI Family Medicine Physician · Riverside, RI
NPI 1447435938 · NPPES record last updated Apr 3, 2026
Key facts
- NPI
- 1447435938
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 60315224 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 4
Medicare Care Compare profile
- 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 LLC
Practice addresses (Care Compare)
1 Office Pkwy
East Providence, RI 02914-1643
Phone (401) 431-9219
Hospital & facility affiliations
- Amedisys Home Health Care
- Our Lady of Fatima Hospital
- The Miriam Hospital
- Roger Williams Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WA, RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140909002796 | WA | Practitioner - Family Practice | 1557407202 | Reassigns benefits to 2 organizations |
| I20201208002931 | RI | Practitioner - Family Practice | 1557407202 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60315224 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunnyside Community Hospital Assocation | Current |
Accepting new patients | |
| Sunnyside Community Hospital Association | Family Medicine | Current |
Accepting new patients |
| Chartercare Physicians, LLC | Family Medicine | Current |
Accepting new patients |
| Sunnyside Community Hospital Association | Current | Accepting new patients | |
| SHC Medical Center Toppenish | Current |
Accepting new patients | |
| Prospect Chartercare Physicians, LLC | Family Medicine | Current |
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
Unit 102
Riverside, RI 02915
Phone (401) 435-3325
501 Wampanoag Trl
Ste 102
Riverside, RI 02915
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
- https://api.platform.athenahealth.com/1596/brand/1/csg/43/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 60315224 | WA | Yes |
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
Other providers in Riverside, RI
- Anesthetics of Mass
- Melissa Jean Aniello
- Annie'S Wellness LLC
- Sohaib Ansari
- Kailyn Anselment
- Michelle S Anvar
- Paul E Appelbaum
- Lindsey Arcand
- Patricia Arel
- Bekir Berker Artukoglu
All providers in Riverside, RI · Family Medicine Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.