Individual provider Active NPI

Robert Carcone, PA

  • Physician Assistant
  • Providence, RI
National Provider Identifier
1730719949
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01406 Issued in RI
Practice address
593 Eddy St
Providence, RI 02903-4923
Phone
(401) 444-8577
NPI assigned
Jan 16, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA01406 RI Primary

Addresses

Primary practice location

593 Eddy St
Providence, RI 02903-4923

Mailing address

101D Nipmuc TRL
North Providence, RI 02904-7749
Phone (401) 996-3084

Other practice location 1

101D Nipmuc Trl
North Providence, RI 02904-7749
Phone (401) 641-0782

Other practice location 2

500 Lincoln St
Worcester, MA 01605-1916
Phone (774) 420-2111

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211123003076 RI Practitioner - Physician Assistant 7517370927 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians

Practice addresses (Care Compare)

11 Commerce Way
Suite 5
Johnston, RI 02919-4613
Phone (401) 606-2610

1360 W Main Rd
Middletown, RI 02842-6301
Phone (401) 606-3110

17 Airport Rd
Warwick, RI 02889-1001
Phone (401) 606-2520

Hospital & facility affiliations

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group, Inc. Physician Assistant CurrentSince Dec 5, 2021 Accepting new patients
Rhode Island Hospital CurrentSince Jan 19, 2026 Accepting new patients
Rhode Island Hospital CurrentSince Jan 19, 2026 Accepting new patients
Rhode Island Hospital Past Accepting new patients
Lifespan Physician Group, Inc. Past Accepting new patients

Locations

236 County Rd
Barrington, RI 02806
Phone (401) 245-8855

11 Commerce Way
Ste 5
Johnston, RI 02919
Phone (401) 606-2610

1360 W Main Rd
Middletown, RI 02842
Phone (401) 606-3110

593 Eddy St
Ste 9B
Providence, RI 02903
Phone (401) 444-5280

2 Dudley St
#1
Providence, RI 02905
Phone (401) 444-5471

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

593 Eddy St
Providence, RI 02903

66 Branch Ave
Ste 150
Providence, RI 02904
Phone (401) 606-2590

Organizations & group practices 6

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": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1730719949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101D NIPMUC TRL",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029047749",
            "telephone_number": "401-996-3084"
        },
        {
            "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": "401-444-8577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101D Nipmuc Trl",
            "address_purpose": "LOCATION",
            "city": "North Providence",
            "state": "RI",
            "postal_code": "029047749",
            "country_code": "US",
            "telephone_number": "401-641-0782",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016051916",
            "country_code": "US",
            "telephone_number": "774-420-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARCONE",
        "first_name": "ROBERT",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-16",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA01406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.