Active NPI
Peter F Deblasio Jr., MD
- Ophthalmology Physician
- North Providence, RI
National Provider Identifier
1174514210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- RI5407
- Practice address
- 1532 Smith St
North Providence, RI 02911-2939 - Phone
- (401) 353-5735
- Fax
- (401) 353-1020
- NPI assigned
- Oct 28, 2005
- Last updated
- Feb 10, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | RI5407 | RI | Primary |
Addresses
Primary practice location
1532 Smith St
North Providence, RI 02911-2939
Mailing address
1532 Smith St
North Providence, RI 02911-2939
Phone (401) 353-5735
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7001864 | Medicaid | RI | |
| 180000314 | Other | RI | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080619000263 | RI | Practitioner - Ophthalmology | 1254402282 | Practice locations: North Providence, RI |
| O20100930087699 | RI | DME Supplier - Physician - Ophthalmology | 2567589674 | Practice locations: North Providence, RI |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1532 Smith St
North Providence, RI 02911-2939
Phone (401) 353-5737
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 367 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RI5407 | RI | MD | Ophthalmology Physician |
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Our Lady of Fatima Hospital
- General Acute Care Hospital
- North Providence, RI
- NPI 1871918870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1174514210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1532 SMITH ST",
"city": "NORTH PROVIDENCE",
"state": "RI",
"postal_code": "029112939",
"telephone_number": "401-353-5735",
"fax_number": "401-353-1020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1532 SMITH ST",
"city": "NORTH PROVIDENCE",
"state": "RI",
"postal_code": "029112939",
"telephone_number": "401-353-5735",
"fax_number": "401-353-1020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBLASIO",
"first_name": "PETER",
"middle_name": "F",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-28",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "RI",
"license": "RI5407",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7001864",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180000314",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.