JOHN ALBERT PEZZULLO MD NPI 1528056496

NPI Information

  • NPI: 1528056496
  • Provider Name: JOHN ALBERT PEZZULLO, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 125 METRO CENTER BLVD STE 2000
    WARWICK, RI
    ZIP 02886
  • Phone: (401) 432-2520

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NPI Details

John Albert Pezzullo, MD is a diagnostic radiology radiology in Warwick, RI with 31 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. John Albert Pezzullo, MD NPI is 1528056496. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Graduation Year:1995

The provider's business location address is:

125 METRO CENTER BLVD STE 2000
WARWICK, RI
ZIP 02886-785
Phone: (401) 432-2520
Fax: (401) 453-8220

The NPI 1528056496 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ct scan of face without contrast (HCPCS:70486)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Ct scan of middle spine without contrast (HCPCS:72128)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Mri scan of upper spinal canal before and after contrast (HCPCS:72156)
  • Mri scan of middle spinal canal before and after contrast (HCPCS:72157)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • X-ray of forearm, 2 views (HCPCS:73090)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)

The enumeration date for this NPI number is 10/13/2005 and was last updated on 3/19/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyMD10244RHODE ISLANDYes
22085R0202XRadiologyDiagnostic Radiology10244RHODE ISLANDNo
32085R0202XRadiologyDiagnostic Radiology212505MASSACHUSETTSNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1003117117OTHERCT MED ASSISTANCE
2407649OTHERBLUECHIP
39102814OTHERPHHCS
4010244OTHERBLUESHIELD
53208486OTHERHEALTHYSTART
6241272OTHERRIHPILGRIM
7300108647OTHERRAILROADMEDICARE
8007008121OTHERHOSPITAL PIN
97008119OTHERRIMEDICALASSISTANCE
10010244OTHERTUFTS
113208486OTHERMASSMEDICAID
120000000001988OTHERNHPRI
13007008119OTHERMEDICARE
141600094OTHERUNITEDHEALTHPLANS
15720099401OTHERCIGNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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