Individual provider Active NPI

Peter Basilios, PA-C

  • Surgical Physician Assistant
  • Fall River, MA
National Provider Identifier
1174083794
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA8369 Issued in MA
Practice address
795 Middle St
Fall River, MA 02721-1733
Phone
(508) 674-5600
NPI assigned
Mar 20, 2019
Last updated
Jan 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA01112 RI
Surgical Physician Assistant 363AS0400X PA8369 MA Primary
Surgical Physician Assistant 363AS0400X PA01112 RI

Addresses

Primary practice location

795 Middle St
Fall River, MA 02721-1733

Mailing address

277 Pleasant St Ste 101
Fall River, MA 02721-3005
Phone (508) 672-0545

Other practice location 1

120 Centerville Rd
Warwick, RI 02886-4336
Phone (401) 738-3730

Other practice location 2

277 Pleasant St Ste 101
Fall River, MA 02721-3005
Phone (508) 672-0545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190503000615 RI Practitioner - Physician Assistant 8426390840 Reassigns benefits to 1 organization
I20220131000841 MA Practitioner - Physician Assistant 8426390840 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Lifespan Physician Group of Massachusetts IncGroup PAC ID 3870020399, 458 clinicians

Practice addresses (Care Compare)

795 Middle St
Fall River, MA 02721-1733
Phone (508) 674-5600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA8369MAMDSurgical Physician Assistant
PA01112RIMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan of Massachusetts - Fall River Inc CurrentSince Dec 30, 2025 Accepting new patients
Orthopedics Rhode Island, Inc CurrentSince May 25, 2019 Accepting new patients
Lifespan Physician Group of Massachusetts Inc CurrentSince Oct 1, 2025 Accepting new patients
Orthopedics Rhode Island, Inc CurrentSince May 25, 2019 Accepting new patients
Lifespan of Massachusetts - Fall River Inc CurrentSince Dec 30, 2025 Accepting new patients

Locations

277 Pleasant St
Ste 101
Fall River, MA 02721
Phone (508) 617-9740

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255

537 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 672-0545

900 Warren Ave
Ste 202
East Providence, RI 02914

120 Centerville Rd
Warwick, RI 02886
Phone (401) 562-1017

300 Crossings Blvd
Warwick, RI 02886
Phone (716) 208-1708

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1174083794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 PLEASANT ST STE 101",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213005",
            "telephone_number": "508-672-0545",
            "fax_number": "508-672-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 MIDDLE ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027211733",
            "telephone_number": "508-674-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Centerville Rd",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028864336",
            "country_code": "US",
            "telephone_number": "401-738-3730",
            "fax_number": "401-738-3777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "277 Pleasant St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027213005",
            "country_code": "US",
            "telephone_number": "508-672-0545",
            "fax_number": "508-672-0547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASILIOS",
        "first_name": "PETER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-20",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "RI",
            "license": "PA01112",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MA",
            "license": "PA8369",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "RI",
            "license": "PA01112",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.