Individual provider Active NPI

Rory James Petteys, MD

  • Neurological Surgery Physician
  • Winchester, MA
National Provider Identifier
1558596627
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
1022751 Issued in MA
Practice address
620 Washington St
Winchester, MA 01890-1328
Phone
(781) 756-7245
NPI assigned
May 19, 2009
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X R0777 TX
Neurological Surgery Physician 207T00000X 1022751 MA Primary

Addresses

Primary practice location

620 Washington St
Winchester, MA 01890-1328

Mailing address

Unit 33100
Apo, AE 09180-3100
Phone (314) 590-5838

Other practice location 1

Unit 33100
Apo, AE 09180-3100
Phone (314) 590-5838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180214001772 TX Practitioner - Neurosurgery 1759695851 Reassigns benefits to 2 organizations
I20250718002973 MA Practitioner - Neurosurgery 1759695851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Johns Hopkins University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0777TXMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Lahey Health Specialty Care, Inc. Single Specialty CurrentSince Jul 15, 2025 Accepting new patients
El Paso County Hospital District Single Specialty CurrentSince May 15, 2018 Accepting new patients
BHS Physicians Network, Inc Single Specialty CurrentSince Feb 1, 2018 Accepting new patients
El Paso County Hospital District Single Specialty CurrentSince May 15, 2018 Accepting new patients
BHS Physicians Network, Inc CurrentSince Feb 1, 2018 Accepting new patients
Elite OB-GYN Services of El Paso, PLLC Single Specialty PastSince Oct 1, 2019 Accepting new patients

Locations

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Interoperability endpoints

  • Direct secure messaging: 2370-petteys-rory@direct.leadingreach.com
  • Direct secure messaging: rory.petteys@direct.myhealthep.org

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 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": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1558596627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "UNIT 33100",
            "city": "APO",
            "state": "AE",
            "postal_code": "091803100",
            "telephone_number": "314-590-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 WASHINGTON ST",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901328",
            "telephone_number": "781-756-7245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Unit 33100",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AE",
            "postal_code": "091803100",
            "country_code": "US",
            "telephone_number": "314-590-5838",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "PETTEYS",
        "first_name": "RORY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "R0777",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MA",
            "license": "1022751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, MA

Sources for this page

Verify at the official NPI Registry.