Individual provider Active NPI

Pieter M Pil, MD

  • Surgery Physician
  • Oak Bluffs, MA
National Provider Identifier
1396743209
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
213619 Issued in MA
Practice address
1 Hospital Rd
Oak Bluffs, MA 02557-1406
Phone
(508) 684-4500
Fax
(508) 684-4502
NPI assigned
Jul 13, 2005
Last updated
Jul 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 213619 MA Primary

Addresses

Primary practice location

1 Hospital Rd
Oak Bluffs, MA 02557-1406

Mailing address

1 Hospital Rd
Oak Bluffs, MA 02557-1406
Phone (508) 684-4500

Other identifiers 1

IdentifierTypeStateIssuer
0174271MedicaidMA

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
I20060626000268 MA Practitioner - General Surgery 1052323599 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Yale University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Martha's Vineyard Hospital IncGroup PAC ID 9931166113, shared by 5 NPIs, 150 clinicians

Practice addresses (Care Compare)

1 Hospital Rd
Oak Bluffs, MA 02557-1406
Phone 508693041079525

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
213619MAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martha's Vineyard Hospital, Inc. CurrentSince Apr 1, 2009 Accepting new patients
Martha's Vineyard Hospital, Inc. CurrentSince Apr 1, 2009 Accepting new patients
Nantucket Physicians Organization CurrentSince Jan 14, 2023 Accepting new patients
Nantucket Cottage Hospital CurrentSince Jan 14, 2023 Accepting new patients
Martha's Vineyard Hospital Surgery Current Accepting new patients
Nantucket Cottage Hospital CurrentSince Jan 14, 2023 Accepting new patients

Locations

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

1 Hospital Rd
Oak Bluffs, MA 02557
Phone (508) 684-4500

340 Main St
Ste 670
Worcester, MA 01608
Phone (508) 754-3560

Interoperability endpoints

  • Direct secure messaging: pil.pieter.mvh@direct.partners.masshiway.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1396743209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL RD",
            "city": "OAK BLUFFS",
            "state": "MA",
            "postal_code": "025571406",
            "telephone_number": "508-684-4500",
            "fax_number": "508-684-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL RD",
            "city": "OAK BLUFFS",
            "state": "MA",
            "postal_code": "025571406",
            "telephone_number": "508-684-4500",
            "fax_number": "508-684-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIL",
        "first_name": "PIETER",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "213619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0174271",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Bluffs, MA

Sources for this page

Verify at the official NPI Registry.