Individual provider Active NPI

Peter F Deblasio Jr., MD

  • Ophthalmology Physician
  • North Providence, RI
National Provider Identifier
1174514210
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
RI5407 Issued in RI
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7001864MedicaidRI
180000314OtherRIRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI2 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

Enrollment IDStateProvider typePAC IDDetails
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 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery367

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
RI5407RIMDOphthalmology Physician

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.