Carlo John Petrillo, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

256551 Issued in MA

Practice address

55 Lake Ave N
Worcester, MA 01655-0002

Phone

(508) 334-1000

NPI assigned

Jun 20, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

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

Specialty

Anesthesiology

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Billings ClinicGroup PAC ID 6002993516, 814 clinicians

Gallatin Valley Anesthesia Associates PCGroup PAC ID 1456372523, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bozeman Health Deaconess Hospital Hospital, Bozeman, MT, CCN 270057
• Billings Clinic Hospital Hospital, Billings, MT, CCN 270004

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cpetrillo164962@christushealth.direct-ci.net

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.

• Billings Clinic

  • Emergency Care Clinic/Center
  • Billings, MT
  • NPI 1326104845
  Medicare reassignment Care Compare group NPD
• Gallatin Valley Anesthesia Associates PC

  • Anesthesiology Physician
  • Bozeman, MT
  • NPI 1336165182
  Medicare reassignment Care Compare group NPD
• Granite Peak Anesthesiology Consultants

  • Anesthesiology Physician
  • Billings, MT
  • NPI 1700637907
  Medicare reassignment NPD
• Billings Clinic

  • General Practice Physician
  • Billings, MT
  • NPI 1376598714
  NPD
• Billings Clinic

  • Physical Therapist
  • Billings, MT
  • NPI 1740630268
  NPD
• Intercity Radiology, PC

  • Specialist
  • Bozeman, MT
  • NPI 1356390736
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Billings Cinic

  • General Acute Care Hospital
  • Bozeman, MT
  • NPI 1215660840
  Care Compare affiliation
• Billings Clinic

  • Orthopaedic Surgery Physician
  • Billings, MT
  • NPI 1003953589

  Hospital

  Care Compare affiliation
• Billings Clinic

  • Family Medicine Physician
  • Billings, MT
  • NPI 1033164447

  Hospital

  Care Compare affiliation
• Billings Clinic

  • Endocrinology, Diabetes & Metabolism Physician
  • Billings, MT
  • NPI 1124310537

  Hospital

  Care Compare affiliation
• Billings Clinic

  • General Acute Care Hospital
  • Billings, MT
  • NPI 1265478291
  Care Compare affiliation
• Billings Clinic

  • Internal Medicine Physician
  • Bozeman, MT
  • NPI 1265648455

  Hospital

  Care Compare affiliation
• Billings Clinic

  • General Practice Physician
  • Billings, MT
  • NPI 1376598714

  Hospital

  Care Compare affiliation
• Billings Clinic

  • Internal Medicine Physician
  • Billings, MT
  • NPI 1871548289

  Hospital

  Care Compare affiliation
• Bozeman Health Deaconess Hospital

  • General Acute Care Hospital
  • Bozeman, MT
  • NPI 1104295864
  Care Compare affiliation

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491609600000",
    "number": "1568801892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 BEACON ST",
            "address_2": "C-306",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016082264",
            "telephone_number": "941-284-1761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002",
            "telephone_number": "508-334-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRILLO",
        "first_name": "CARLO",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-20",
        "last_updated": "2017-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "256551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Y Peterson, L.M.H.C.
• Noah Marek Peterson, PSYD
• Jean Sergot Petion Sr., M.ED
• Stephanie Petkiewicz, MD PHD
• Victoria Petrides
• Suanne Petroff, NP
• Christine Petrone
• Marisa Petruccelli, PSY.D.
• Olivia Isabella Petrucci, OT
• Kristin Pett

• Anesthesiology Physician in Worcester, MA
• Providers in Worcester, MA by specialty
• Anesthesiology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.