Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jason Iannuccilli, MD

Individual provider Diagnostic Radiology Physician · NPI 1659599868

Jason Iannuccilli, MD is a Diagnostic Radiology in Warwick, Rhode Island. Qualified in 2005, 21 years ago. Practices with Florida Hospital Physician Group Inc, a 932-clinician group and accepts Medicare assignment. Licensed in California and Rhode Island.

Years since qualifying
21
Licensed in
CA, RI
In the registry since
2007
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

125 Metro Center Blvd Ste 2000
Warwick, RI 02886-1785
Phone: (401) 432-2520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence MD12595 (RI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD12595 (RI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence A111724 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence LP00021 (RI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 12595 (RI)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 12595 (RI)

Record details

NPI number1659599868
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 23, 2007
Last updated in NPPESMarch 18, 2019
Mailing address125 Metro Center Blvd Ste 2000, Warwick, RI 02886-1785

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Florida Hospital Physician Group Inc — 932 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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