Individual provider Active NPI

Peter K Cellucci, M.D.

  • Emergency Medicine Physician
  • Milton, MA
National Provider Identifier
1992887913
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
55452 Issued in MA
Practice address
92 Highland St
Milton Hospital Emergency Dept
Milton, MA 02186-3800
Phone
(617) 313-1615
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 55452 MA Primary

Addresses

Primary practice location

92 Highland St
Milton Hospital Emergency Dept
Milton, MA 02186-3800

Mailing address

92 Highland St
Milton Hospital Emergency Dept
Milton, MA 02186-3800
Phone (617) 313-1615

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
I20050502000686 MA Practitioner - Emergency MedicinePractitioner - General Practice 3476592106 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Emergency Medicine CurrentSince Aug 14, 2020 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Dec 1, 2008 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Dec 1, 2008 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Nov 1, 2020 Accepting new patients
Bid-Milton Physician Associates Inc CurrentSince Oct 1, 2020 Accepting new patients
Bid-Milton Physician Associates Inc CurrentSince Oct 1, 2020 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Caritas Medical Group, Inc Emergency Medicine Past Accepting new patients

Locations

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

910 Washington St
Dedham, MA 02026
Phone (781) 431-1333

92 Highland St
Milton, MA 02186
Phone (617) 698-8855

199 Reedsdale Rd
Milton, MA 02186
Phone (617) 313-1000

100 Highland St
Milton, MA 02186
Phone (617) 615-4000

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

100 Walter J Hannon Pkwy
Quincy, MA 02169
Phone (617) 615-4000

100 Walter J Hannon Pkwy
Ste 143
Quincy, MA 02169
Phone (617) 615-4000

Interoperability endpoints

  • Direct secure messaging: pcellucci254256@direct.bilh.masshiway.net

Organizations & group practices 9

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992887913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 HIGHLAND ST",
            "address_2": "MILTON HOSPITAL EMERGENCY DEPT",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863800",
            "telephone_number": "617-313-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 HIGHLAND ST",
            "address_2": "MILTON HOSPITAL EMERGENCY DEPT",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863800",
            "telephone_number": "617-313-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELLUCCI",
        "first_name": "PETER",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "55452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, MA

Sources for this page

Verify at the official NPI Registry.