GIANNA PETRONE DO
NPI 1497168892
Emergency Medicine in Providence, RI

Q: What is Gianna Petrone's NPI number?

The NPI number for Gianna Petrone is 1497168892. It was assigned to this individual provider in the NPPES registry on June 4, 2014.

Q: What is Gianna Petrone's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Gianna Petrone was last updated on July 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 June 04, 2014PECOS EnrolledAccepts Medicare Assignment

164 SUMMIT AVE, PROVIDENCE, RI 02906(401) 793-2500 Get Directions Write a Review

NPPES record last updated: July 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 17, 2018, Mar 22, 2018 (2 updates tracked since 2018).

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About Gianna Petrone Do NPPES

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

GIANNA PETRONE DO (NPI 1497168892) is an individual emergency medicine provider in Providence, Rhode Island, licensed in Rhode Island (DO00907) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and is a graduate of University Of New England, College Of Osteo Medicine (2014).

NPPES Registry Identity

NPI1497168892

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameGIANNA PETRONECredential: DO

Location Address164 SUMMIT AVEProvidence, RI 02906

Mailing AddressPo Box 9484Providence, RI 02940-9484 · (401) 854-2500 · Fax (401) 854-2519

Phone(401) 793-2500

Sole ProprietorNo

Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2014

Enumeration DateJune 4, 2014

Last NPPES UpdateJuly 17, 20182 updates tracked since enumeration

✔ NPI 1497168892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in RI · DO00907

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License LP03138 (RI)

164 SUMMIT AVE, Providence, RI 02906

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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

Gianna Petrone Do 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 ID4183921794

PECOS Enrollment IDI20180510001623

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 4

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

189 services187 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

33 services33 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

32 services32 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

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

Women & Infants Hospital Of Rhode Island

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410010

Location101 Dudley StreetProvidence, RI 02905 · Providence 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 02906 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

$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.

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. HALINA KUC-MAZGAJ

Nurse Practitioner (Family)

164 SUMMIT AVE, THE MIRIAM HOSPITAL
PROVIDENCE, RI 02906

Providence County (401) 793-3902

KARL HERMAN M.D.

Internal Medicine

164 SUMMIT AVE, FAIN BLDG.
PROVIDENCE, RI 02906

Providence County (401) 793-4489

MUHAMMAD BAIG M.D.

Internal Medicine (Cardiovascular Disease)

164 SUMMIT AVE, FAIN BLDG
PROVIDENCE, RI 02906

Providence County (401) 793-4489

MS. LEANNE LAPARLE LICSW

Social Worker (Clinical)