HARRY MICHAEL IANNOTTI (MD) – Urology Physician, NPI 1154360469

HARRY MICHAEL IANNOTTI (MD) is a healthcare provider. based in Providence, Rhode Island. specializing in Urology Physician. They hold the professional credentials MD. They hold a License No. MD04154 (RI). The NPI Number for HARRY MICHAEL IANNOTTI (MD) is 1154360469

Main info

Male
Sole Proprietor
60 Years Of Experience
Accepts Medicare Assignment
Name
HARRY MICHAEL IANNOTTI (MD)
NPI
1154360469
Phone
(401) 521-4333
Address
1165 NORTH MAIN STREET
Enumeration Date
5 June 2006
Last Update Date
27 January 2014

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4012762026
Graduation Year
1966 (60 years ago)
PAC ID
1052308699
Group Practice PAC ID
7810254513
Professional Enrollment ID
I20040427000731
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for HARRY MICHAEL IANNOTTI (MD)

  • 1165, North Main Street, Providence, Providence County, Rhode Island, 02904, United States

    SUITE 200

    PROVIDENCE, RI 02904

    Phone: (401) 521-4333

    Fax: (401) 521-4377

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-12-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040427000731IUrologyRITBD
I20101215001246IUrologyMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02904)

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Provider's Procedures

HARRY MICHAEL IANNOTTI (MD) performs procedures in Urology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYRI55700Biopsy of prostate gland2121
UROLOGYRI76872Ultrasound of rectum2724

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810254513View full group profile
NameSpecialtyState
Physician AssistantRI
U R O L O G YRI
U R O L O G YMA
-RI
U R O L O G YRI
Nurse PractitionerRI
Radiation OncologyRI
U R O L O G YRI
U R O L O G YRI
Radiation OncologyCA

Reviews

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Frequently asked questions

Can I cross-check HARRY MICHAEL IANNOTTI (MD) using NPI 1154360469?
NPI 1154360469 belongs to HARRY MICHAEL IANNOTTI (MD); compare other details if you need extra assurance.
Is HARRY MICHAEL IANNOTTI (MD) shown as active in public data?
Registry records indicate HARRY MICHAEL IANNOTTI (MD) maintains an active NPI.
What kind of doctor is HARRY MICHAEL IANNOTTI (MD)?
HARRY MICHAEL IANNOTTI (MD) is associated with Urology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for HARRY MICHAEL IANNOTTI (MD)?
Travel planning: use Providence, Rhode Island as the reference point for HARRY MICHAEL IANNOTTI (MD), then confirm.
When was this NPI issued?
Enumeration for HARRY MICHAEL IANNOTTI (MD) is noted as June 5, 2006 where the registry provides it.

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