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PETER M. REVENO M.D.
NPI 1083601785
Radiology - Diagnostic Radiology in Boston, MA

Active since September 29, 2005
1153 CENTRE ST, RADIOLOGY, FAULKNER HOSPITAL, BOSTON, MA 02130(617) 983-7090(617) 983-7091 Get Directions Write a Review

NPPES record last updated: August 10, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Peter M. Reveno M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER M. REVENO M.D. (NPI 1083601785) is an individual diagnostic radiology provider in Boston, Massachusetts, licensed in Massachusetts (31950) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1083601785
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NamePETER M. REVENOCredential: M.D.
Location Address1153 CENTRE ST, RADIOLOGY, FAULKNER HOSPITALBoston, MA 02130-3446
Mailing Address1153 Centre St, Radiology, Faulkner HospitalBoston, MA 02130-3446 · (617) 983-7090 · Fax (617) 983-7091
Phone(617) 983-7090
Fax(617) 983-7091
Sole ProprietorNo
Enumeration DateSeptember 29, 2005
Last NPPES UpdateAugust 10, 2007
✔ NPI 1083601785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MA · 31950
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1153 CENTRE ST, Boston, MA 02130
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Other Identifiers 5

Medicaid3134792MA
Other713987MA · Tufts Health Care
Medicare ID-Type UnspecifiedD05045MA
Medicare UPINA54017
OtherD05045MA · Blue Cross/blue Shield

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARY RAY MAZAKA LICSW
Social Worker (Clinical)
1153 CENTRE ST, 2ND FLOOR
BOSTON, MA 02130
Suffolk County (617) 983-7233
MRS. ELAINE ANN CHARBONNIER NP
Nurse Practitioner (Adult Health)
1153 CENTRE ST, FAULKNER HOSPITAL , DEPT OF PREADMISSION TESTING
BOSTON, MA 02130
Suffolk County (617) 933-4600
HYEJUNG KIM RPH
Pharmacist
1153 CENTRE ST
BOSTON, MA 02130
Suffolk County (851) 404-5397
FAINA NAKHLIS MD
Surgery (Surgical Oncology)
1153 CENTRE ST, FAULKNER BREAST CENTRE
BOSTON, MA 02130
Suffolk County (617) 983-7777
CATHERINE COQUINCO LLAMAS PA
Physician Assistant
1153 CENTRE ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 983-7132
KRISTIN MARIE STELTER LICSW, MFA
Social Worker (Clinical)
1153 CENTRE ST
BOSTON, MA 02130
Suffolk County (617) 983-4470
DOLORES MARIE SULA PA-C
Physician Assistant
1153 CENTRE ST
BOSTON, MA 02130
Suffolk County (617) 983-7000
DR. STACI R EISENBERG MD
Internal Medicine
1153 CENTRE ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 983-7025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Reveno's NPI number?

The NPI number for Peter Reveno is 1083601785. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Where is Peter Reveno located?

Peter Reveno practices at 1153 Centre St Radiology, Faulkner Hospital, Boston, MA 02130. The listed phone number is (617) 983-7090.

What is Peter Reveno's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Peter Reveno was last updated on August 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.