Individual provider Active NPI

Peter John Miotto, M.D.

  • Specialist
  • Marlborough, MA
National Provider Identifier
1194709246
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
203288 Issued in MA
Practice address
159 Union St
Suite 104
Marlborough, MA 01752-1274
Phone
(508) 229-3640
Fax
(508) 229-7954
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 203288 MA Primary

Addresses

Primary practice location

159 Union St
Suite 104
Marlborough, MA 01752-1274

Mailing address

159 Union St
Suite 104
Marlborough, MA 01752-1274
Phone (508) 229-3640

Other identifiers 5

IdentifierTypeStateIssuer
0130851MedicaidMA
203288OtherMATUFTS HEALTH PLAN
61677OtherMAFALLON COMMUNITY HEALTH
808067OtherMAHARVARD PILGRIM HEALTH CA
203288OtherMAMA STATE LICENSE

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080523000444 MA Practitioner - General SurgeryPractitioner - Other (Physician) 5799854279 Practice locations: Marlborough, MA

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of California, Irvine, California College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

159 Union St
Marlborough, MA 01752-1274
Phone (508) 229-3640

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)24
Mastectomy12
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peter J Miotto PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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.

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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1194709246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 UNION ST",
            "address_2": "SUITE 104",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521274",
            "telephone_number": "508-229-3640",
            "fax_number": "508-229-7954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 UNION ST",
            "address_2": "SUITE 104",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521274",
            "telephone_number": "508-229-3640",
            "fax_number": "508-229-7954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIOTTO",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "203288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0130851",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "203288",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON COMMUNITY HEALTH",
            "identifier": "61677",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CA",
            "identifier": "808067",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA STATE LICENSE",
            "identifier": "203288",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

Verify at the official NPI Registry.