Individual provider Active NPI

Joseph Peppe, M.D.

  • Family Medicine Physician
  • Beverly, MA
National Provider Identifier
1619941903
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
219838 Issued in MA
Practice address
100 Cummings Center Suite 126-Q
Beverly, MA 01915
Phone
(978) 524-8181
Fax
(978) 524-9868
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 219838 MA Primary

Addresses

Primary practice location

100 Cummings Center Suite 126-Q
Beverly, MA 01915

Mailing address

100 Cummings Center Suite 126-Q
Beverly, MA 01915
Phone (978) 524-8181

Other identifiers 1

IdentifierTypeStateIssuer
2038561MedicaidMA

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
I20040416000540 MA Practitioner - Family Practice 2860487147 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Massachusetts Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Community Health IncGroup PAC ID 4880666452, 38 clinicians

Practice addresses (Care Compare)

47 Congress St
Salem, MA 01970-7308
Phone (978) 744-8388

Hospital & facility affiliations

  • Northeast Hospital Corporation Hospital, Beverly, MA, CCN 220033

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Lahey Health Specialty Care, Inc. CurrentSince Apr 16, 2020 Accepting new patients
Majorek Medical Group CurrentSince Apr 19, 2020 Accepting new patients
North Shore Community Health, Inc CurrentSince Jan 19, 2026 Accepting new patients
North Shore Community Health, Inc CurrentSince Jan 19, 2026 Accepting new patients
South Boston Community Health Center CurrentSince Mar 9, 2014 Accepting new patients

Locations

100 Cummings Ctr
Ste 126Q
Beverly, MA 01915
Phone (978) 524-8181

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

27 Congress St
Ste 513
Salem, MA 01970
Phone (978) 825-1175

47 Congress St
Salem, MA 01970
Phone (978) 744-8388

409 W Broadway
South Boston, MA 02127
Phone (617) 269-7500

15 Railroad Ave
South Hamilton, MA 01982
Phone (978) 468-7381

Interoperability endpoints

  • Direct secure messaging: jpeppe123864@direct.bilh.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 and National Provider Directory roles.

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1619941903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CENTER SUITE 126-Q",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "01915",
            "telephone_number": "978-524-8181",
            "fax_number": "978-524-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CENTER SUITE 126-Q",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "01915",
            "telephone_number": "978-524-8181",
            "fax_number": "978-524-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPPE",
        "first_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "219838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2038561",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.