Kenneth R Peelle, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

037634 Issued in MA

Practice address

185 Great Pond Rd
North Andover, MA 01845-3026

Phone

(978) 685-8181

Fax

(978) 688-2425

NPI assigned

May 20, 2006

Last updated

Apr 1, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA, HI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Diagnostic Radiology

Education

JS Weill Medical College, Cornell University, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

L and M Radiology IncGroup PAC ID 6305819228, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holy Family Hospital Hospital, Methuen, MA, CCN 220080
• Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kpeelle21025@direct.southcoast.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• L & M Radiology, Inc.

  • Diagnostic Radiology Physician
  • Lawrence, MA
  • NPI 1699721985
  Medicare reassignment Care Compare group NPD
• Steward Medical Group, Inc

  • Specialist
  • Brighton, MA
  • NPI 1356654495
  Medicare reassignment NPD
• Steward Medical Group, Inc

  • Internal Medicine Physician
  • Dartmouth, MA
  • NPI 1821349317
  Medicare reassignment NPD
• Renaissance Imaging Medical Associates, Inc.

  • Diagnostic Radiology Physician
  • Northridge, CA
  • NPI 1487608931

  HI, MA

  Medicare reassignment NPD
• Bih Radiologic Foundation Inc

  • Body Imaging Physician
  • Boston, MA
  • NPI 1356377493

  Diagnostic Radiology

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lawrence General Hospital

  dba Merrimack Health Lawrence Hospital

  • General Acute Care Hospital
  • Lawrence, MA
  • NPI 1750381281
  Care Compare affiliation
• LG Newcorp Inc

  dba Merrimack Health Methuen Hospital

  • General Acute Care Hospital
  • Methuen, MA
  • NPI 1265267991
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1043264104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 GREAT POND RD",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018453026",
            "telephone_number": "978-685-8181",
            "fax_number": "978-688-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 GREAT POND RD",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018453026",
            "telephone_number": "978-685-8181",
            "fax_number": "978-688-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEELLE",
        "first_name": "KENNETH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "037634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2030462",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patti a Richard Dba Family Eye Care
• Pavilion Medical Home Care & Staffing LLC
• Lucy N Paynter, MS
• Paynters Counseling Center LLC
• Pediatrics at Chestnut Greens
• Lauren Christine Pelczar
• Sophia Helen Pelich, BCBA LABA
• Janet Lee Pellegrino, NP
• Donna M Pendoley, NP
• Helaine Marie Penney, NP

• Diagnostic Radiology Physician in North Andover, MA
• Providers in North Andover, MA by specialty
• Diagnostic Radiology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.