Individual provider Active NPI

Sierra Autumn Grasso, DO

  • Surgery Physician
  • Woonsocket, RI
National Provider Identifier
1992202980
Registry record updated Jul 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
328059 Issued in NY
Practice address
115 Cass Ave
Woonsocket, RI 02895-4731
Phone
(401) 769-4100
NPI assigned
Apr 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 328059 NY Primary

Addresses

Primary practice location

115 Cass Ave
Woonsocket, RI 02895-4731

Mailing address

345 Avenue a Apt 201
Bayonne, NJ 07002-1321
Phone (440) 225-4819

Other practice location 1

206 Cass Ave
Woonsocket, RI 02895-4712
Phone (401) 597-5070

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
I20250812001619 RI Practitioner - General Surgery 9234637992 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Ohio University, College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Healthcare Services Landmark LLCGroup PAC ID 3274761069, shared by 5 NPIs, 48 clinicians

Practice addresses (Care Compare)

115 Cass Ave
Woonsocket, RI 02895-4705
Phone (401) 769-4100

206 Cass Ave
Woonsocket, RI 02895-4712
Phone (401) 767-1595

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Removal of tissue36
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
328059NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Services Landmark LLC Surgery CurrentSince Aug 1, 2025 Accepting new patients
Prime Healthcare Services Landmark LLC Surgery CurrentSince Aug 1, 2025 Accepting new patients
Prime Healthcare Services Landmark LLC CurrentSince Aug 1, 2025 Accepting new patients
Prime Healthcare Services Landmark LLC Surgery Past Accepting new patients

Locations

206 Cass Ave
Woonsocket, RI 02895
Phone (401) 597-5070

115 Cass Ave
Woonsocket, RI 02895
Phone (401) 356-1701

20 Cumberland Hill Rd
Unit 206
Woonsocket, RI 02895
Phone (401) 766-1785

Organizations & group practices 4

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 2

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": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751673600000",
    "number": "1992202980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 AVENUE A APT 201",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070021321",
            "telephone_number": "440-225-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CASS AVE",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028954731",
            "telephone_number": "401-769-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 Cass Ave",
            "address_purpose": "LOCATION",
            "city": "Woonsocket",
            "state": "RI",
            "postal_code": "028954712",
            "country_code": "US",
            "telephone_number": "401-597-5070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRASSO",
        "first_name": "SIERRA",
        "middle_name": "AUTUMN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2025-07-05",
        "certification_date": "2025-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "328059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, RI

Sources for this page

Verify at the official NPI Registry.