Individual provider Active NPI

Ronni M Peltz, MD

  • Pediatrics Physician
  • Barrington, RI
National Provider Identifier
1669400529
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
7551 Issued in RI
Practice address
Barrington Pediatric Assoc Inc
Barrington, RI 02806
Phone
(401) 247-2288
Fax
(401) 247-2960
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 7551 RI Primary

Addresses

Primary practice location

Barrington Pediatric Assoc Inc
Barrington, RI 02806

Mailing address

334D County Road
Barrington, RI 02806
Phone (401) 247-2288

Other identifiers 1

IdentifierTypeStateIssuer
RP00928MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20150504000384 RI Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 2163741752

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7551RIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barrington Pediatric Associates, Inc. Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rpeltz@wih.cernerdirect.carene.org

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1669400529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334D COUNTY ROAD",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "02806",
            "telephone_number": "401-247-2288",
            "fax_number": "401-247-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BARRINGTON PEDIATRIC ASSOC INC",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "02806",
            "telephone_number": "401-247-2288",
            "fax_number": "401-247-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTZ",
        "first_name": "RONNI",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "7551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RP00928",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, RI

Sources for this page

Verify at the official NPI Registry.