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DR. NICHOLAS JOSEPH COCCOLUTO MD
NPI 1245971050
Anesthesiology in Providence, RI

Active since April 05, 2022PECOS Enrolled
593 EDDY ST, PROVIDENCE, RI 02903(401) 606-4286 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 13, 2026, Jul 5, 2023, Apr 5, 2022 (3 updates tracked since 2022).

About Dr. Nicholas Joseph Coccoluto Md NPPES

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

DR. NICHOLAS JOSEPH COCCOLUTO MD (NPI 1245971050) is an individual anesthesiology provider in Providence, Rhode Island, licensed in Rhode Island (MD21232) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Providence, and is a graduate of Tufts University School Of Medicine (2022).

NPPES Registry Identity

NPI1245971050
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. NICHOLAS JOSEPH COCCOLUTOCredential: MD
Location Address593 EDDY STProvidence, RI 02903-4923
Mailing Address15 Lasalle SquareProvidence, RI 02903-4923 · (401) 444-6779 · Fax (401) 444-6912
Phone(401) 606-4286
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2022
Enumeration DateApril 5, 2022
Last NPPES UpdateAugust 13, 20263 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
✔ NPI 1245971050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in RI · MD21232
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
593 EDDY ST, Providence, RI 02903
Open in Google Maps ↗

Secondary Practice Location 1

Location 1101 Dudley StProvidence, RI 02905-2401 · Phone (401) 274-1122 · Fax (401) 453-7666

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicholas Joseph Coccoluto Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446722698
PECOS Enrollment IDI20260618001392
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 Reassignment

Medicare enrollment records show Nicholas Coccoluto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Affinity Physicians LLC
0.2 mi
Anesthesiology
101 DUDLEY STREET, WIH DEPT OF ANESTHESIOLOGY
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 984 clinicians in this Medicare group
NPI 1053038471 (401) 274-1122

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

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.

DR. KEITH-AUSTIN SCARFO D.O.
Anesthesiology
593 EDDY ST, APC 6
PROVIDENCE, RI 02903
Providence County (401) 444-3777
AILEEN HSUEH
Surgery
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-8450
RHODE ISLAND HOSPITAL
General Acute Care Hospital
593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903
Providence County (401) 444-7585
DR. GA HIE NAM M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-5057
EUGENIE ATALLAH
Psychiatry & Neurology (Neurology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 606-2645
BRET CAULFIELD
Physician Assistant
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-4000
JUNG HO GONG
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 793-2695
FANNY HUANG MD
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-4741

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 Nicholas Coccoluto's NPI number?

The NPI number for Nicholas Coccoluto is 1245971050. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Nicholas Coccoluto located?

Nicholas Coccoluto practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 606-4286.

What is Nicholas Coccoluto's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Nicholas Coccoluto enrolled in Medicare?

Yes. Nicholas Coccoluto is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicholas Coccoluto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Coccoluto reassigns Medicare benefits to Affinity Physicians LLC (Providence, RI). The 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 Nicholas Coccoluto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicholas Coccoluto was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.