NPIMap

Individual provider Active NPI

Thomas A Dipetrillo, M.D

  • Radiation Oncology Physician
  • Providence, RI
National Provider Identifier
1881651941
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD09677 Issued in RI
Practice address
593 Eddy St
Providence, RI 02903-4923
Phone
(401) 444-8311
Fax
(401) 444-5335
NPI assigned
May 1, 2006
Last updated
May 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD09677 RI Primary
Radiation Oncology Physician 2085R0001X 60144 MA

Addresses

Primary practice location

593 Eddy St
Providence, RI 02903-4923

Mailing address

593 Eddy St
Department of Radiation Oncology
Providence, RI 02903-4923
Phone (401) 444-8311

Other practice location 1

795 Middle St
Fall River, MA 02721-1733
Phone (508) 996-3991

Other identifiers 9

IdentifierTypeStateIssuer
060144OtherTUFTS HEALTH PLAN
920000783OtherRAILROAD MEDICARE
240600NEMCOtherHARVARD PILGRIM
27671OtherNHP OF RHODE ISLAND
7006675MedicaidRI
2400030OtherUNITED HEALTHCARE
403094OtherBLUECHIP
4804-8OtherRIBLUE CROSS BLUE SHIELD
0134617OtherCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, 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
I20050607001109 MA Practitioner - Diagnostic Radiology 7719920073 Reassigns benefits to 2 organizations
I20070716000401 RI Practitioner - Radiation Oncology 7719920073 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Vermont College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Radiosurgery Center of Rhode Island LLCGroup PAC ID 0345393559, 9 clinicians
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians

Practice addresses (Care Compare)

593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-3600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60144MAMDRadiation Oncology Physician
MD09677RIMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pratt Radiation Oncology Associates Inc Radiation Oncology CurrentSince Apr 21, 1993 Accepting new patients
Rhode Island Hospital CurrentSince Apr 1, 2024 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Radiosurgery Center of Rhode Island LLC Radiation Oncology CurrentSince Jul 1, 2009 Accepting new patients
Lifespan Corporation Current Accepting new patients
Rhode Island Hospital CurrentSince Apr 1, 2024 Accepting new patients

Locations

750 Washington St
Boston, MA 02111
Phone (617) 636-4600

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

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

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

593 Eddy St
Providence, RI 02903

593 Eddy St
Bsmt Apc
Providence, RI 02903
Phone (401) 444-8311

Interoperability endpoints

  • Direct secure messaging: tdipetrillo17189@brownhealth.medalliesdirect.net
  • Direct secure messaging: tdipetrillo29414@tuftsmedicine.direct-ci.com

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 6

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1881651941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "address_2": "DEPARTMENT OF RADIATION ONCOLOGY",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-444-8311",
            "fax_number": "401-444-5335"
        },
        {
            "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": "401-444-8311",
            "fax_number": "401-444-5335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "795 Middle St",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027211733",
            "country_code": "US",
            "telephone_number": "508-996-3991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIPETRILLO",
        "first_name": "THOMAS",
        "middle_name": "A",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "RI",
            "license": "MD09677",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MA",
            "license": "60144",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "060144",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "920000783",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "240600NEMC",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP OF RHODE ISLAND",
            "identifier": "27671",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7006675",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2400030",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHIP",
            "identifier": "403094",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4804-8",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0134617",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.