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DR. ANTHONY J LOMBARDI MD
NPI 1265427009
Internal Medicine in Cranston, RI

Active since September 19, 2005PECOS EnrolledAccepts Medicare Assignment
70.59/100
CMS Quality Rating
75 SOCKANOSSET CROSS RD, CRANSTON, RI 02920(401) 946-6200(401) 275-1992 Get Directions Write a Review

NPPES record last updated: July 16, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Anthony J Lombardi Md NPPES

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

DR. ANTHONY J LOMBARDI MD (NPI 1265427009) is an individual internal medicine provider in Cranston, Rhode Island, licensed in Rhode Island (MD09181) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of Fatima Hospital, and is a graduate of Warren Alpert Medical School Of Brown University (1993).

NPPES Registry Identity

NPI1265427009
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ANTHONY J LOMBARDICredential: MD
Location Address75 SOCKANOSSET CROSS RDCranston, RI 02920-5558
Mailing Address10 Davol Sq, Suite 400Providence, RI 02903-4754 · (401) 421-4000 · Fax (401) 272-1456
Phone(401) 946-6200
Fax(401) 275-1992
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 1993
Enumeration DateSeptember 19, 2005
Last NPPES UpdateJuly 16, 2012
✔ NPI 1265427009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in RI · MD09181
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
75 SOCKANOSSET CROSS RD, Cranston, RI 02920
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Other Identifiers 14

Other050483739RI · Tin #
Other050483739RI · Great West Health Care
Medicaid9020314RI
Other04-00757RI · United Health Care
Other20314-6RI · Bcbs Of Ri
Other4090RI · Neighborhood Health Plan
Other710065801RI · Cigna
Other110146337RI · Railroad Medicre
Other400308RI · Blue Chip
Other709003712RI · Medicare Group
Medicare UPING29868RI
Other404455RI · Tufts Health Plan
Other65886RI · Harvard Health Plan
Medicare ID-Type Unspecified007056802RI

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

Dr. Anthony J Lombardi Md 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 ID5799747085
PECOS Enrollment IDI20041029000108
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 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
216 services150 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
160 services160 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
33 services31 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
30 services22 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
28 services25 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
21 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Our Lady Of Fatima Hospital

Acute Care Hospitals · North Providence, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410005
Location200 High Service AvenueNorth Providence, RI 02904 · Providence County
Emergency services

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410009
Location455 Toll Gate RdWarwick, RI 02886 · Kent County
Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02920 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
Most-billed visit code 99214
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.

70.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.02
Improvement Activities40
Cost36.63

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers26 claims46 services$6.52 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$55.99 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$11.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MRS. JUDITH MARIE RICCI MSPT
Physical Therapist
75 SOCKANOSSET CROSS RD, SUITE 110
CRANSTON, RI 02920
Providence County (401) 944-7574
MS. JANE A VIEIRA-IEMMA MSW LICSW
Social Worker (Clinical)
75 SOCKANOSSET CROSS RD, SUITE 208
CRANSTON, RI 02920
Providence County (401) 862-6031
BACK IN BALANCE, INC.
Massage Therapist
75 SOCKANOSSET CROSS RD, SUITE 110
CRANSTON, RI 02920
Providence County (401) 225-2021
LINDSAY SCHULZ LICSW
Social Worker (Clinical)
75 SOCKANOSSET CROSS RD, SUITE 301
CRANSTON, RI 02920
Providence County (401) 415-8868
IAN NANNIG PT
Physical Therapist
75 SOCKANOSSET CROSS RD
CRANSTON, RI 02920
Providence County (401) 944-7574
SUSAN PITT PA
Physician Assistant
75 SOCKANOSSET CROSS RD
CRANSTON, RI 02920
Providence County (401) 946-6200
MICHELLE NEUNER LMT
Massage Therapist
75 SOCKANOSSET CROSS RD
CRANSTON, RI 02920
Providence County (401) 225-2021
SOFIA EDLUND-WYNN
Counselor (Mental Health)
75 SOCKANOSSET CROSS RD, SUITE 301
CRANSTON, RI 02920
Providence County (401) 415-8868

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 Anthony Lombardi's NPI number?

The NPI number for Anthony Lombardi is 1265427009. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Where is Anthony Lombardi located?

Anthony Lombardi practices at 75 Sockanosset Cross Rd, Cranston, RI 02920. The listed phone number is (401) 946-6200.

What is Anthony Lombardi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Anthony Lombardi enrolled in Medicare?

Yes. Anthony Lombardi 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.

Is Anthony Lombardi affiliated with any hospitals?

According to CMS data, Anthony Lombardi is affiliated with Our Lady Of Fatima Hospital, Rhode Island Hospital, Kent County Memorial Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Anthony Lombardi was last updated on July 16, 2012. 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.