JOSE M. NEGRON-SOTO M.D.
NPI 1083635437
Radiology - Diagnostic Radiology in Pawtucket, RI

Q: What is Jose Negron-soto's NPI number?

The NPI number for Jose Negron-soto is 1083635437. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Q: What is Jose Negron-soto's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Jose Negron-soto was last updated on November 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment

92.79/100

CMS Quality Rating

111 BREWSTER STREET, PAWTUCKET, RI 02860(401) 729-2339 Get Directions Write a Review

NPPES record last updated: November 18, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jose M. Negron-soto M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSE M. NEGRON-SOTO M.D. (NPI 1083635437) is an individual diagnostic radiology provider in Pawtucket, Rhode Island, licensed in Rhode Island (MD13104) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Sarasota Memorial Hospital, and is a graduate of University Of Michigan Medical School (1993).

NPPES Registry Identity

NPI1083635437

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameJOSE M. NEGRON-SOTOCredential: M.D.

Location Address111 BREWSTER STREETPawtucket, RI 02860-4400

Mailing Address111 Brewster Street, Wood Bldg #516Pawtucket, RI 02860-4400 · (401) 729-3481

Phone(401) 729-2339

Sole ProprietorNo

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1993

Enumeration DateJuly 21, 2006

Last NPPES UpdateNovember 18, 2010

✔ NPI 1083635437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in RI · MD13104✔ Licensed in OH · 35.087546

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

111 BREWSTER STREET, Pawtucket, RI 02860

Open in Google Maps ↗

Other Identifiers 3

Other001302601RI · Medicare Ptan

MedicaidJN77480RI

Medicaid110086874AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jose M. Negron-soto M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133123839

PECOS Enrollment IDI20070808000784, I20250915001488, I20260504005012

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 22

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

506 services485 patients

Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml A9579

This is an MRI procedure where a gadolinium-based contrast agent is injected into your body. The agent enhances the images, making it easier to detect abnormalities. It's safe and side effects are rare. It's administered per milliliter as needed.

455 services30 patients

Mri scan of brain without contrast 70551

An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.

199 services196 patients

Mri scan of brain without contrast 70551

174 services172 patients

Ct scan of blood vessels of chest with contrast 71275

A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.

163 services162 patients

Mri scan of brain before and after contrast 70553

An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.

125 services125 patients

Ct scan of blood vessels of head with contrast 70496

A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.

116 services114 patients

Ct scan of blood vessels of neck with contrast 70498

A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.

115 services113 patients

Ct scan of upper spine without contrast 72125

A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.

105 services105 patients

Mri scan of brain before and after contrast 70553

98 services96 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

85 services85 patients

Ct scan head or brain without contrast 70450

74 services69 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

70 services70 patients

Ct scan of lower spine without contrast 72131

A CT scan of the lower spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed images of your lower back area, helping to detect conditions like fractures, infections, or tumors. It's painless and generally quick.

21 services21 patients

Ct scan of chest with contrast 71260

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

15 services15 patients

Ct scan of face without contrast 70486

A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.

14 services14 patients

Ct scan of blood vessels of chest with contrast 71275

14 services14 patients

Ct scan of abdomen and pelvis with contrast 74177

13 services13 patients

Ct scan of upper spine without contrast 72125

12 services12 patients

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

12 services12 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

11 services11 patients

Ct scan of abdomen and pelvis without contrast 74176

11 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100087

Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County

Emergency services Birthing friendly

Sarasota Memorial Hospital - Venice

Acute Care Hospitals · North Venice, FL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100359

Location2600 Laurel Rd ENorth Venice, FL 34275 · Sarasota County

Emergency services Birthing friendly

Temple Health - Chestnut Hill Hospital

Acute Care Hospitals · Philadelphia, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390026

Location8835 Germantown AvenuePhiladelphia, PA 19118 · Philadelphia County

Emergency services

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390174

Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02860 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.79/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

91.51

Improvement Activities

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques

Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…

100%24 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL S SICLARI MD

Emergency Medicine

111 BREWSTER STREET
PAWTUCKET, RI 02860

Providence County (401) 729-2419

JENNIFER DEROSSI-DACOSTA RN,CDE,CDOE

Registered Nurse (Diabetes Educator)

111 BREWSTER STREET, CNEMG PRIMARY CARE AND SPECIALTY SERVICES
PAWTUCKET, RI 02860

Providence County (401) 729-2238

ABRAHAM WALUSIMBI MD

Internal Medicine

111 BREWSTER STREET
PAWTUCKET, RI 02860

Providence County (401) 729-2258

JOSEPH STEPHEN RABATIN MD

Internal Medicine

111 BREWSTER STREET
PAWTUCKET, RI 02860

Providence County (401) 729-2258

DR. ANTHONY GEORGE THOMAS D.O.

Internal Medicine (Hematology & Oncology)

111 BREWSTER STREET
PAWTUCKET, RI 02860

Providence County (401) 729-2700

FADYA ELRAYESS MD

Family Medicine

111 BREWSTER STREET
PAWTUCKET, RI 02860

Providence County (401) 729-2206

DR. MICHAEL E JAY M.D.

Radiology (Vascular & Interventional Radiology)

111 BREWSTER STREET
PAWTUCKET, RI 02860

Providence County (401) 729-2339

DR. KRISTIN LYNCH GREGG M.D.

Emergency Medicine

111 BREWSTER STREET
PAWTUCKET, RI 02860

Providence County (401) 729-2419

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Negron-soto's NPI number?

The NPI number for Jose Negron-soto is 1083635437. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Jose Negron-soto located?

Jose Negron-soto practices at 111 Brewster Street, Pawtucket, RI 02860. The listed phone number is (401) 729-2339.

What is Jose Negron-soto's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Jose Negron-soto enrolled in Medicare?

Yes. Jose Negron-soto is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jose Negron-soto accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Jose Negron-soto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jose Negron-soto affiliated with any hospitals?

According to CMS data, Jose Negron-soto is affiliated with Sarasota Memorial Hospital, Sarasota Memorial Hospital - Venice, Temple Health - Chestnut Hill Hospital and Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Jose Negron-soto was last updated on November 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.