Peter M. Ripley, M.D.

Individual provider Active NPI Family Medicine Physician · South Yarmouth, MA

NPI 1497717243 · NPPES record last updated May 31, 2012

Key facts

NPI: 1497717243
Entity type: Individual (NPI type 1)
Primary specialty: Family Medicine Physician 207Q00000X
License: 57339 (MA)
Practice address: 23 Whites Path
Suite F
South Yarmouth, MA 02664-1221
Phone: (508) 760-2054
Fax: (508) 760-1218
NPI assigned: Apr 6, 2006
Sex: Male
Sole proprietor: No

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.

BK Primary Care PLLC Primary Care Clinic/Center · West Yarmouth, MA · NPI 1114740933

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

Practice roles

Organization	Specialty	Status	New patients
BK Primary Care PLLC		Current	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician	207Q00000X	57339	MA	Yes

Addresses

Primary practice location

23 Whites Path
Suite F
South Yarmouth, MA 02664-1221

Mailing address

23 Whites Path Ste F
South Yarmouth, MA 02664-1238
Phone (508) 760-2054

Other identifiers

Identifier	Type	State	Issuer
3019853	Medicaid	MA

Other providers in South Yarmouth, MA

All providers in South Yarmouth, MA · Family Medicine Physician in Massachusetts

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2012. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.