Here’s a post by “VeriSign Digital Infrastructure Staff” pondering about using OpenID as the authentication mechanism for SIP.
While this is still in the stage of “pondering”, I’m linking so you can ponder a bit, too ;-) Personally, I think if it can be made to work, this would be great both for OpenID and the broader adoption of SIP.

I suspect that this will have similar problems to those exploited by phishers. Given that your OpenID is a URL, there's nothing to prevent people registering homonyms of existing domains (or plausible sounding equivalents) to create OpenIDs that look authoritative. c1tibank.com, for example. It probably helps me authenticate people I already know, but doesn't help much in authenticating people I don't know.
@Nik,
That problem is easily avoidable by using white lists of domains you provide support for. While a human might be fooled by c1tybank.com, a computer obviously knows the difference between an i and a 1.