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

Dr. Sara Pingul Petrillo II, MD

Individual provider Diagnostic Radiology Physician · NPI 1740436195

Dr. Sara Pingul Petrillo II, MD practises Diagnostic Radiology in Providence, Rhode Island. Qualified in 2003, 23 years ago. Practices with Rhode Island Medical Imaging Inc, a 107-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in District of Columbia, Massachusetts, Maryland and Rhode Island and 1 more.

Years since qualifying
23
Licensed in
DC, MA, MD, RI, VA
In the registry since
2008
Specialties on file
5
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

593 Eddy St
Providence, RI 02903-5374
Phone: (401) 444-5174
Fax: (401) 889-3619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 211 Park St, Attleboro, MA 02703-3143 — (508) 222-5200
  • 1221 Mercantile Ln, Largo, MD 20774-5374 — (301) 618-5500

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD19288 (RI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 1016593 (MA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence D0068574 (MD)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 0101245056 (VA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD037149 (DC)

Record details

NPI number1740436195
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 15, 2008
Last updated in NPPESAugust 10, 2023
Certification dateAugust 10, 2023

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Rhode Island Medical Imaging Inc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Providence