Frank C. Pedevillano, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

165411 Issued in NY

Practice address

21 Springside Ave
Poughkeepsie, NY 12603-1837

Phone

(845) 454-0244

Fax

(845) 454-0405

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Premier Medical Group of the Hudson Valley P.C.

  • Urology Physician
  • Poughkeepsie, NY
  • NPI 1255437166
  Medicare reassignment NPD
• Premier Medical Group of the Hudson Valley, P.C.

  • Podiatrist
  • Wappingers Falls, NY
  • NPI 1467290130
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1821181504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SPRINGSIDE AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126031837",
            "telephone_number": "845-454-0244",
            "fax_number": "845-454-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SPRINGSIDE AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126031837",
            "telephone_number": "845-454-0244",
            "fax_number": "845-454-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDEVILLANO",
        "first_name": "FRANK",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "165411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00957406",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen A Peak, PTA
• Thara Pearce
• Pearle Vision Inc
• Charisse Pecorella, MSN, FNP-BC
• Diane Pedevillano, PT
• Pediatric Dentistry of Poughkeepsie, PLLC
• Peggy Langella
• Matthew Stephen Pelella, PHARMD, RPH
• Kimberly Ann Pelish, NP
• Jessica A Pelletier, LCSW-R

• Family Medicine Physician in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.