Peter B Kassis, MD

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

17086 Issued in RI

Practice address

251 Main Street
Exeter, RI 02822-0282

Phone

(401) 295-0960

NPI assigned

Jul 27, 2006

Last updated

Jun 29, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

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 Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Baart Behavioral Health Services, Inc.

  dba BAART Programs St. Johnsbury

  • Substance Use Disorder Rehabilitation Clinic/Center
  • St Johnsbury, VT
  • NPI 1013055110
  Medicare reassignment NPD
• Brattleboro Retreat

  • Psychiatric Hospital
  • Brattleboro, VT
  • NPI 1730185232
  Medicare reassignment NPD
• Baart Behavioral Health Services, Inc.

  dba BAART Programs Bennington

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bennington, VT
  • NPI 1740086263
  NPD
• Baart Behavioral Health Services, Inc.

  dba BAART Programs St. Albans

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Saint Albans, VT
  • NPI 1891234514
  NPD
• Community Health Care, Inc.

  dba Health Care Resource Centers

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Westfield, MA
  • NPI 1912980251
  NPD
• Baystate Affiliated Practice Organization

  • Internal Medicine Physician
  • Springfield, MA
  • NPI 1043256043

  Family Medicine

  NPD (past)
• Brattleboro Retreat

  dba Retreat Healthcare

  • Institutional Pharmacy
  • Brattleboro, VT
  • NPI 1295947950
  NPD (past)
• Community Physicians PC

  • Methadone Clinic
  • Portland, ME
  • NPI 1316242209
  NPD (past)
• New Hampshire Detox and Rehab

  • Substance Abuse Rehabilitation Facility
  • Dublin, NH
  • NPI 1508521170
  NPD (past)
• Riverbend Medical Group, Inc

  dba Trinity Health Of New England Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Springfield, MA
  • NPI 1639280779
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1962416982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 MAIN STREET",
            "city": "EXETER",
            "state": "RI",
            "postal_code": "028221619",
            "telephone_number": "401-295-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 MAIN STREET",
            "city": "EXETER",
            "state": "RI",
            "postal_code": "028220282",
            "telephone_number": "401-295-0960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325B King St",
            "address_purpose": "LOCATION",
            "city": "Northampton",
            "state": "MA",
            "postal_code": "010602370",
            "country_code": "US",
            "telephone_number": "413-387-4101",
            "fax_number": "413-387-4119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASSIS",
        "first_name": "PETER",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "ME",
            "license": "21217",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MA",
            "license": "223636",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NH",
            "license": "17768",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "VT",
            "license": "0420014083",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CT",
            "license": "55708",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "RI",
            "license": "17086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110040753/A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Francisca Hebel Gofton, LICSW
• Lisa Gonzalez, M.ED, BCBA, LBA
• Hallville Road Group Home
• Jacelyn Ann Harrington
• Kristi Kasanovich, R.N.
• Lantern Lane Group Home
• Meredith Lemek, CPD
• Nancy Lineberry, CCC-SLP
• Gregg Steven Pennington
• Jean Pietrantonio, M.S. CCC-SLP

• Addiction Medicine (Family Medicine) Physician in Exeter, RI
• Providers in Exeter, RI by specialty
• Addiction Medicine (Family Medicine) Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.