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PROVIDENCE UROLOGY, LLC
NPI 1255386868
Urology in Providence, RI

Active since May 23, 2006
1165 N MAIN ST, SUITE 200, PROVIDENCE, RI 02904(401) 521-4333(401) 521-4377 Get Directions Write a Review

NPPES record last updated: December 6, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Providence Urology, Llc NPPES

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

PROVIDENCE UROLOGY, LLC (NPI 1255386868) is a healthcare organization registered as an urology in Providence, Rhode Island and active in the NPI registry since May 2006. The organization lists Harry M Iannotti, President, as its authorized official.

NPPES Registry Identity

NPI1255386868
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NamePROVIDENCE UROLOGY, LLC
Location Address1165 N MAIN ST, SUITE 200Providence, RI 02904-5740
Mailing Address340 Main St, Ste. 670Worcester, MA 01608-1604 · (508) 754-3566 · Fax (508) 438-6368
Phone(401) 521-4333
Fax(401) 521-4377
Organization SubpartNo
Authorized OfficialHarry M IannottiPresident · (401) 521-4333
Enumeration DateMay 23, 2006
Last NPPES UpdateDecember 6, 2011
✔ NPI 1255386868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1165 N MAIN ST, Providence, RI 02904
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Other Identifiers 2

Medicare ID-Type Unspecified709003351RI
Medicaid9003351RI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Providence Urology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Providence Urology, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Harry Iannotti, MD
Urology
NPI 1154360469
1165 N MAIN ST STE. 200
Providence, RI 02904
(401) 521-4333
✔ PECOSSame address

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

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 Providence Urology, LLC's NPI number?

The NPI number for Providence Urology, LLC is 1255386868. It was assigned to this organization in the NPPES registry on May 23, 2006.

Where is Providence Urology, LLC located?

Providence Urology, LLC is located at 1165 N Main St Suite 200, Providence, RI 02904. The listed phone number is (401) 521-4333.

What is Providence Urology, LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Providence Urology, LLC enrolled in Medicare?

Yes. Providence Urology, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Urology, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Urology) reassigns their Medicare billing to Providence Urology, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Providence Urology, LLC was last updated on December 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.