Individual provider Active NPI

Sean Kevin Piechocki, PA-C

  • Physician Assistant
  • Boston, MA
National Provider Identifier
1316902489
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3777 Issued in MA
Practice address
55 Fruit St
Boston, MA 02114-2621
Phone
(401) 741-1884
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X AT00163 RI
Physician Assistant 363A00000X PA00486 RI
Surgical Physician Assistant 363AS0400X 013021 NY
Physician Assistant 363A00000X PA3777 MA Primary

Addresses

Primary practice location

55 Fruit St
Boston, MA 02114-2621

Mailing address

PO Box 415348
Boston, MA 02241-5348

Other practice location 1

164 Summit Ave
Providence, RI 02906
Phone (401) 793-3598

Other practice location 2

2 Dudley St Ste 470
Providence, RI 02905-3248
Phone (401) 553-8320

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
I20120530000549 RI Practitioner - Physician Assistant 7113180217 Reassigns benefits to 3 organizations
I20180113000065 MA Practitioner - Physician Assistant 7113180217 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AT00163RIMDSpecialist
013021NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nantucket Cottage Hospital CurrentSince Jan 29, 2026 Accepting new patients
Orthopedics Rhode Island, Inc CurrentSince Dec 1, 2016 Accepting new patients
General Hospital Corp Current Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Dec 4, 2017 Accepting new patients
Orthopedics Rhode Island, Inc CurrentSince Dec 1, 2016 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Dec 4, 2017 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Nantucket Physicians Organization CurrentSince Jan 29, 2026 Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince May 6, 2025 Accepting new patients
Lifespan Physician Group, Inc. Physician Assistant CurrentSince Dec 1, 2025 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Nov 29, 2021 Accepting new patients
Rhode Island Hospital Current Accepting new patients
Nantucket Cottage Hospital CurrentSince Jan 29, 2026 Accepting new patients
Lifespan Physician Group, Inc. Past Accepting new patients

Locations

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
Boston, MA 02114

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

57 Prospect St
Nantucket, MA 02554
Phone (508) 228-1200

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

345 Blackstone Blvd
Providence, RI 02906
Phone (401) 455-6375

2 Dudley St
Ste 470
Providence, RI 02905
Phone (401) 274-7546

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

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

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

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

Interoperability endpoints

  • Direct secure messaging: piechocki.sean.mgh@direct.partners.masshiway.net
  • Direct secure messaging: sean.piechocki@usasurg.eclinicaldirectplus.com

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1316902489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "401-741-1884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "164 Summit Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "02906",
            "country_code": "US",
            "telephone_number": "401-793-3598",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Dudley St Ste 470",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029053248",
            "country_code": "US",
            "telephone_number": "401-553-8320",
            "fax_number": "401-868-2322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIECHOCKI",
        "first_name": "SEAN",
        "middle_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "RI",
            "license": "AT00163",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA00486",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "013021",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA3777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.