JASON IANNUCCILLI MD NPI 1659599868

NPI Information

  • NPI: 1659599868
  • Provider Name: JASON IANNUCCILLI, MD
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 125 METRO CENTER BLVD STE 2000
    WARWICK, RI
    ZIP 02886
  • Phone: (401) 432-2520

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NPI Details

Jason Iannuccilli, MD is a vascular and interventional radiology radiology in Warwick, RI with 21 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. Jason Iannuccilli, MD NPI is 1659599868. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

125 METRO CENTER BLVD STE 2000
WARWICK, RI
ZIP 02886-785
Phone: (401) 432-2520

The NPI 1659599868 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)

The enumeration date for this NPI number is 4/23/2007 and was last updated on 3/18/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology12595RHODE ISLANDNo
22085R0202XRadiologyDiagnostic RadiologyLP00021RHODE ISLANDNo
32085R0202XRadiologyDiagnostic RadiologyA111724CALIFORNIANo
42085R0202XRadiologyDiagnostic RadiologyMD12595RHODE ISLANDNo
52085R0204XRadiologyVascular & Interventional RadiologyMD12595RHODE ISLANDYes
62085R0204XRadiologyVascular & Interventional Radiology12595RHODE ISLANDNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10A1117240MEDICAIDCALIFORNIA
2J185324MEDICAIDRHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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