ROGER T PEZZUTI M.D. NPI 1720150683

NPI Information

NPI: 1720150683
Provider Name: ROGER T PEZZUTI, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
22 BRAMHALL ST
PORTLAND, ME
ZIP 04102
Phone: (207) 662-2571
Get Directions

Roger T Pezzuti, M.D. is a diagnostic radiology radiology in Portland, ME. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Roger T Pezzuti, M.D. NPI is 1720150683. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

22 BRAMHALL ST
PORTLAND, ME
ZIP 04102-134
Phone: (207) 662-2571

The enumeration date for this NPI number is 11/15/2006 and was last updated on 7/23/2009.

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	2085R0204X	Radiology	Vascular & Interventional Radiology	007895	MAINE	No
2	2085R0202X	Radiology	Diagnostic Radiology	007895	MAINE	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	Other Provider Identifier Issuer
1	30007026	MEDICAID	NEW HAMPSHIRE
2	107476	MEDICARE ID-TYPE UNSPECIFIED	MAINE
3	300061942	MEDICARE ID-TYPE UNSPECIFIED	MAINE	RAILROAD
4	1040947	OTHER	MAINE	AETNA USHC
5	01Y000185NH01	OTHER	NEW HAMPSHIRE	ANTHEM
6	M52973	OTHER	MAINE	CIGNA
7	305170099	MEDICAID	MAINE
8	B86369	MEDICARE UPIN	MAINE
9	5023092	OTHER	MAINE	AETNA
10	B86369	OTHER	MAINE	HPHC
11	026375	OTHER	MAINE	ANTHEM
12	RE7127	MEDICARE ID-TYPE UNSPECIFIED	NEW HAMPSHIRE

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »