Individual provider Active NPI

Peter T Yasigian, M.D.

  • Pediatrics Physician
  • Cumberland, RI
National Provider Identifier
1194720573
Registry record updated Nov 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD06540 Issued in RI
Practice address
2 Meehan LN
Cumberland, RI 02864-1413
Phone
(401) 658-2525
Fax
(401) 658-3031
NPI assigned
Jun 14, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 8, 2016 through May 8, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD06540RIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Just Kids R.I. Sick Care LLC Pediatrics Past Accepting new patients
Blackstone Valley Pediatrics Pediatrics Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIBCAA

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD06540 RI Primary

Addresses

NPPES NPI Registry

Primary practice location

2 Meehan LN
Cumberland, RI 02864-1413

Mailing address

2 Meehan LN
Cumberland, RI 02864-1413
Phone (401) 658-2525

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
PY01057MedicaidRI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 20, 2013.

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384905600000",
    "number": "1194720573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEEHAN LN",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028641413",
            "telephone_number": "401-658-2525",
            "fax_number": "401-658-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEEHAN LN",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028641413",
            "telephone_number": "401-658-2525",
            "fax_number": "401-658-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASIGIAN",
        "first_name": "PETER",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2013-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "MD06540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PY01057",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, RI

Sources for this page

Verify at the official NPI Registry.