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: October 25, 2026.

On this page

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 Jefferson Health- Northeast, 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 Cigna Healthcare, Cigna HealthCare of Florida, Inc., Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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 IDI20250915001488, 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.

Medicare Billing Reassignments

Medicare enrollment records show Jose Negron-soto reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jefferson University Radiology Associates, LLC

226 mi

Radiology

10160 BUSTLETON AVE STE E
Philadelphia, PA 19116

Reassigned Medicare billing, Pennsylvania and New Jersey enrollments
Also billed through NPI 1972169902 (New Jersey)
135 clinicians in this Medicare group

NPI 1992307979 (215) 503-4900

Einstein Practice Plan Inc

227 mi

Surgery

9880 BUSTLETON AVE, SUITE 205
Philadelphia, PA 19115

Reassigned Medicare billing, Pennsylvania enrollment
1,205 clinicians in this Medicare group

NPI 1922050509 (215) 676-2222

Jefferson University Physicians Of New Jersey, P.C.

235 mi

Internal Medicine

443 LAUREL OAK RD, SUITE 130
Voorhees, NJ 08043

Reassigned Medicare billing, New Jersey enrollment
Medicare enrollment name: Jefferson University Physicians Of New Jersey PC
186 clinicians in this Medicare group

NPI 1083039200 (856) 741-0122

Jefferson University Physicians

238 mi

General Practice

33 S. 9TH STREET
Philadelphia, PA 19107

Reassigned Medicare billing, Pennsylvania enrollment
1,739 clinicians in this Medicare group

NPI 1326093675 (215) 955-0000

Elite Imaging LLC

992 mi

Diagnostic Radiology

2020 PROFESSIONAL CENTER DR
Orange Park, FL 32073

Reassigned Medicare billing, Florida enrollment
187 clinicians in this Medicare group

NPI 1346516853 (305) 692-2222

Medical Technology Transfer Corporation

1,085 mi

Primary Care

1800 W HIBISCUS BLVD STE 101
Melbourne, FL 32901

Reassigned Medicare billing, Florida enrollment
82 clinicians in this Medicare group

NPI 1104947217 (321) 726-1600

Tower Imaging LLC

1,116 mi

Diagnostic Radiology

8425 NORTHCLIFFE BLVD STE 101
Spring Hill, FL 34606

Reassigned Medicare billing, Florida enrollment
210 clinicians in this Medicare group

NPI 1669267134 (352) 686-2360

Rose Radiology Centers, LLC

1,141 mi

Radiology

1220 OAKFIELD DR
Brandon, FL 33511

Reassigned Medicare billing, Florida enrollment
135 clinicians in this Medicare group

NPI 1629162904 (813) 655-1144

Mori Bean And Brooks Inc

1,143 mi

Diagnostic Radiology

1 TAMPA GENERAL CIR
Tampa, FL 33606

Reassigned Medicare billing, Florida enrollment
1,130 clinicians in this Medicare group

NPI 1093782070 (904) 236-5884

Manatee Memorial Hospital LP

1,175 mi

Body Imaging

300 RIVERSIDE DR E STE 4300
Bradenton, FL 34208

Reassigned Medicare billing, Florida enrollment
Medicare enrollment name: Manatee Memorial Hospital L P
80 clinicians in this Medicare group

NPI 1821458829 (941) 747-3034

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Jefferson Health- Northeast

Acute Care Hospitals · Philadelphia, PA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390115

Location10800 Knights RoadPhiladelphia, PA 19114 · Philadelphia County

Emergency services

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390142

Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County

Emergency services Birthing friendly

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

Einstein Medical Center Montgomery

Acute Care Hospitals · East Norriton, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390329

Location559 West Germantown PikeEast Norriton, PA 19403 · Montgomery County

Emergency services

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.

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

MR. MATTHEW EVAN BROWN P.A.-C

Physician Assistant

111 BREWSTER STREET
PAWTUCKET, RI 02860

Providence County (401) 729-2304

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

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.

Which organizations bill Medicare for Jose Negron-soto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Negron-soto reassigns Medicare benefits to 11 organizations: Jefferson University Radiology Associates, LLC (Philadelphia, PA), Einstein Practice Plan Inc (Philadelphia, PA), Jefferson University Physicians Of New Jersey, P.C. (Voorhees, NJ), Jefferson University Physicians (Philadelphia, PA), Elite Imaging LLC (Orange Park, FL) and 6 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jose Negron-soto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Negron-soto accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Oscar Health, 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 Jefferson Health- Northeast, Albert Einstein Medical Center, Thomas Jefferson University Hospital and Einstein Medical Center Montgomery.

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.