Anthony Michael Pellegrino, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

AP2303 Issued in MA

Practice address

271 Carew St
Springfield, MA 01104-2377

Phone

(413) 748-9000

NPI assigned

Jan 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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

• Mercy Inpatient Medical Associates Inc.

  • Internal Medicine Physician
  • Springfield, MA
  • NPI 1407845282
  Medicare reassignment
• Caritas Medical Group, Inc

  • Emergency Medicine Physician
  • Brighton, MA
  • NPI 1902012511
  NPD (past)
• Mass General Brigham Medical Group Western Massachusetts Inc

  • Psychiatry Physician
  • Northampton, MA
  • NPI 1942605373
  NPD (past)
• Steward Medical Group, Inc.

  • Specialist
  • Brighton, MA
  • NPI 1801109947
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1083769111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 ALLEN RD DEPT OF",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061322",
            "telephone_number": "508-633-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 CAREW ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042377",
            "telephone_number": "413-748-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Locust St",
            "address_2": "Cooley Dickinson Hospital, Dept of Emergency Medicine",
            "address_purpose": "LOCATION",
            "city": "Northampton",
            "state": "MA",
            "postal_code": "010602052",
            "country_code": "US",
            "telephone_number": "413-582-2363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELLEGRINO",
        "first_name": "ANTHONY",
        "middle_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NH",
            "license": "0661",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "AP2303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30336642",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00730832",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mabel Peguero
• Marie Peirent, MS ED
• Aleska Pelagia Pelaez Acosta, M.D.
• Patricia Sanchez Pelland, PSY.D., LMHC
• Kiley Pellegrini, LCSW
• Salvatore Pellegrino, RN
• Amber Marie Pelletier, OTR/L
• Amy L Pelletier, D.O.
• Casey Pelletier, LMHC
• George A Pelletier, M.D.

• Physician Assistant in Springfield, MA
• Providers in Springfield, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.