DOUGLAS C ANTHONY MD
NPI 1558308270
Pathology - Anatomic Pathology in Providence, RI

Q: What is Douglas Anthony's NPI number?

The NPI number for Douglas Anthony is 1558308270. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Q: What is Douglas Anthony's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Anthony was last updated on November 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 01, 2006PECOS Enrolled

593 EDDY ST, APC BUILDING, 12-106, PROVIDENCE, RI 02903(401) 444-5011(401) 444-8514 Get Directions Write a Review

NPPES record last updated: November 19, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Douglas C Anthony Md NPPES

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

DOUGLAS C ANTHONY MD (NPI 1558308270) is an individual anatomic pathology provider in Providence, Rhode Island, licensed in Rhode Island (MD13805) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558308270

Entity TypeIndividualMale

Primary Taxonomy207ZP0101X

Provider Legal NameDOUGLAS C ANTHONYCredential: MD

Location Address593 EDDY ST, APC BUILDING, 12-106Providence, RI 02903-4923

Mailing Address593 Eddy St, Apc Building, 12-106Providence, RI 02903-4923 · (401) 444-5011

Phone(401) 444-5011

Fax(401) 444-8514

Sole ProprietorNo

Enumeration DateJune 1, 2006

Last NPPES UpdateNovember 19, 2015

✔ NPI 1558308270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0101X

Licenses✔ Licensed in RI · MD13805✔ Licensed in MO · 2002000486

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedPathology · NeuropathologyTaxonomy 207ZN0500X · License 2002000486 (MO)

Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License 2002000486 (MO), MD13805 (RI)

593 EDDY ST, Providence, RI 02903

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Other Identifiers 9

Medicare UPINE24334MO

Medicare PIN966995236MO

Other127403MO · Blue Shield

Medicare PIN156010635MO

Other002577701RI · Medicare

Medicare PINP00601089MO

Medicaid205733702MO

Medicare PIN220033230MO

Other127403MO · Blue Choice

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas C Anthony Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

Medicare enrollment records show Douglas Anthony reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifespan Physician Group, Inc.

Same address

General Practice

593 EDDY ST
Providence, RI 02903

Reassigned Medicare billing, Rhode Island enrollment
1,372 clinicians in this Medicare group

NPI 1407116643 (401) 444-6779

Rhode Island Hospital

Same address

Multi-Specialty

593 EDDY ST
Providence, RI 02903

Reassigned Medicare billing, Rhode Island enrollment
358 clinicians in this Medicare group

NPI 1154537520 (401) 444-6905

The Miriam Hospital

2.8 mi

Multi-Specialty

164 SUMMIT AVE
Providence, RI 02906

Reassigned Medicare billing, Rhode Island enrollment
93 clinicians in this Medicare group

NPI 1598978744 (401) 444-5640

Newport Hospital

22 mi

Obstetrics & Gynecology

11 FRIENDSHIP ST
Newport, RI 02840

Reassigned Medicare billing, Rhode Island enrollment
72 clinicians in this Medicare group

NPI 1063632180 (401) 444-6905

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 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.

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 Douglas Anthony's NPI number?

The NPI number for Douglas Anthony is 1558308270. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Douglas Anthony located?

Douglas Anthony practices at 593 Eddy St Apc Building, 12-106, Providence, RI 02903. The listed phone number is (401) 444-5011.

What is Douglas Anthony's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Is Douglas Anthony enrolled in Medicare?

Yes. Douglas Anthony is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Douglas Anthony's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Anthony reassigns Medicare benefits to 4 organizations: Lifespan Physician Group, Inc. (Providence, RI), Rhode Island Hospital (Providence, RI), The Miriam Hospital (Providence, RI) and Newport Hospital (Newport, RI). Each 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 Douglas Anthony'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 Douglas Anthony was last updated on November 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.