1. Home
  2. Directory
  3. Rhode Island
  4. Newport
  5. Internal Medicine
  6. NPI Profile

ALESSANDRO PAPA M.D.
NPI 1295725141
Internal Medicine - Hematology & Oncology in Newport, RI

Active since October 24, 2005PECOS EnrolledAccepts Medicare Assignment
94.42/100
CMS Quality Rating
19 FRIENDSHIP ST, SUITE 360, NEWPORT, RI 02840(401) 845-1998(401) 848-6510 Get Directions Write a Review

NPPES record last updated: November 28, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alessandro Papa M.d. NPPES

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

ALESSANDRO PAPA M.D. (NPI 1295725141) is an individual hematology & oncology provider in Newport, Rhode Island, licensed in Rhode Island (RI7288) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Southcoast Hospitals Group, and is a graduate of Warren Alpert Medical School Of Brown University (1984).

NPPES Registry Identity

NPI1295725141
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameALESSANDRO PAPACredential: M.D.
Location Address19 FRIENDSHIP ST, SUITE 360Newport, RI 02840-2200
Mailing Address19 Friendship St, Suite 360Newport, RI 02840-2200 · (401) 845-1998 · Fax (401) 848-6510
Phone(401) 845-1998
Fax(401) 848-6510
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 1984
Enumeration DateOctober 24, 2005
Last NPPES UpdateNovember 28, 2012
✔ NPI 1295725141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in RI · RI7288
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

19 FRIENDSHIP ST, Newport, RI 02840
Open in Google Maps ↗

Other Identifiers 7

Other30-00139RI · United Health Care
Medicare UPINE51811RI
Other0595617RI · Aetna
Medicare ID-Type Unspecified119020077RI
Medicaid9020077RI
Other004325RI · Bluechip
Other20077RI · Blue Cross/blue Shield

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

Alessandro Papa 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 ID941371181
PECOS Enrollment IDI20080617000051
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.
407 services190 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
200 services95 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.
141 services84 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
105 services78 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
62 services44 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
52 services52 patients

Hospital Affiliations CMS Care Compare 5

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

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220074
Location363 Highland AvenueFall River, MA 02720 · Bristol County
Emergency services Birthing friendly

Newport Hospital

Acute Care Hospitals · Newport, RI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410006
Location11 Friendship StreetNewport, RI 02840 · Newport County
Emergency services Birthing friendly

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 02840 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
$177.03 typical visit price
range $58.57 – $177.03
Typical copayment $44.25 (range $14.64 – $44.25)
Most-billed visit code 99205
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.

94.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality72.19
Promoting Interoperability100
Improvement Activities40
Cost100

Reported Quality Measures

Breast Cancer Screening
67%270 patients3/55-star benchmark: 93%
Cervical Cancer Screening
43%253 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
2%52 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
44%591 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
59%340 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
29%129 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
33%129 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
0%2,952 patients1/55-star benchmark: 100%
e-Prescribing
98%155 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%631 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
37%728 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
58%763 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
20%850 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 76% · 770 patients
Patients screened: 79% · 770 patients
55%55 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%1,149 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 10% · 648 patients
Patients totalRate: 12% · 648 patients
10%648 patients4/55-star benchmark: 100%
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.

JAMES STUDDERS
Specialist
19 FRIENDSHIP ST
NEWPORT, RI 02840
Newport County (401) 404-2975
MS. BRENDA MARCIA BACHMAN MSW
Social Worker (School)
19 FRIENDSHIP ST, SUITE 240
NEWPORT, RI 02840
Newport County (401) 846-1192
TIMOTHY J THOMPSON PA
Physician Assistant (Medical)
19 FRIENDSHIP ST, SUITE 330
NEWPORT, RI 02840
Newport County (401) 849-6868
RACHEL DEL ROSARIO PT
Physical Therapist
19 FRIENDSHIP ST, SUITE 160
NEWPORT, RI 02840
Newport County (401) 499-7771
DR. GAIL E CARREAU MD
Obstetrics & Gynecology
19 FRIENDSHIP ST, SUITE 220
NEWPORT, RI 02840
Newport County (401) 848-5556
DAPHNE LYDIA KALAIDJIAN LICSW
Counselor (Mental Health)
19 FRIENDSHIP ST, SUITE 240
NEWPORT, RI 02840
Newport County (401) 578-4453
WILLIAM D. LEVIN MD
Family Medicine
19 FRIENDSHIP ST, SUITE 130
NEWPORT, RI 02840
Newport County (401) 845-2113
DR. MICHAEL N KNOWLAN M.D.
Psychiatry & Neurology (Psychiatry)
19 FRIENDSHIP ST, SUITE 140
NEWPORT, RI 02840
Newport County (401) 845-0333

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 Alessandro Papa's NPI number?

The NPI number for Alessandro Papa is 1295725141. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Where is Alessandro Papa located?

Alessandro Papa practices at 19 Friendship St Suite 360, Newport, RI 02840. The listed phone number is (401) 845-1998.

What is Alessandro Papa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Alessandro Papa enrolled in Medicare?

Yes. Alessandro Papa 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 Alessandro Papa affiliated with any hospitals?

According to CMS data, Alessandro Papa is affiliated with Southcoast Hospitals Group, Newport Hospital, Rhode Island Hospital, Kent County Memorial Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Alessandro Papa was last updated on November 28, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.