RAYMOND M PERTUSI DO NPI 1679536312

NPI Information

NPI: 1679536312
Provider Name: RAYMOND M PERTUSI, DO
Classification: Internal Medicine - 207RR0500X
Entity Type: Individual

Specialization: Rheumatology

Organization: UNIVERSITY OF TEXAS MEDICAL BRANCH FACULTY GROUP PRACTICE

PECOS Registration: Yes

Address:
119 BELMONT ST
WORCESTER, MA
ZIP 01605
Phone: (508) 334-5224
Get Directions

Raymond M Pertusi, DO is a rheumatology internal medicine in Worcester, MA with 41 years of experience. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. Raymond M Pertusi, DO NPI is 1679536312. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduation Year:1983

The provider's business location address is:

119 BELMONT ST
WORCESTER, MA
ZIP 01605-903
Phone: (508) 334-5224

The NPI 1679536312 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 enumeration date for this NPI number is 4/11/2006 and was last updated on 11/5/2010.

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
1	207RR0500X	Internal Medicine	Rheumatology	230937	MASSACHUSETTS	Yes

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
1	125473203	MEDICAID	TEXAS
2	E02911	MEDICARE UPIN	TEXAS
3	842580	MEDICARE ID-TYPE UNSPECIFIED	TEXAS
4	110075827A	MEDICAID	MASSACHUSETTS

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: 11/14/2023

NPI Synchronization or Removal

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