Active NPI
W Peter Reyelt, MD
- Surgery Physician
- Sharon, CT
National Provider Identifier
1649255704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 011657
- Practice address
- 29 Hospital Hill Rd
Sharon, CT 06069-2095 - Phone
- (860) 364-0226
- Fax
- (860) 364-0875
- NPI assigned
- Dec 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 011657 | CT | Primary |
Addresses
Primary practice location
29 Hospital Hill Rd
Sharon, CT 06069-2095
Mailing address
PO Box 786
Sharon, CT 06069-0786
Phone (860) 364-0226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011657 | CT | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evan P Provisor MD PC | Surgery | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1649255704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 786",
"city": "SHARON",
"state": "CT",
"postal_code": "060690786",
"telephone_number": "860-364-0226",
"fax_number": "860-364-0875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 HOSPITAL HILL RD",
"city": "SHARON",
"state": "CT",
"postal_code": "060692095",
"telephone_number": "860-364-0226",
"fax_number": "860-364-0875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYELT",
"first_name": "W",
"middle_name": "PETER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CT",
"license": "011657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sharon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.