DR. KATHLEEN MARIE PETILLO D.O.
NPI 1093949232
Pediatrics in North Easton, MA
About Dr. Kathleen Marie Petillo D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KATHLEEN MARIE PETILLO D.O. (NPI 1093949232) is an individual pediatrics provider in North Easton, Massachusetts, licensed in New York (263552) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kathleen Marie Petillo D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kathleen Petillo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boston, MA 02115
- Reassigned Medicare billing, Massachusetts enrollment
- 1,358 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02356 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NORTH EASTON, MA 02356
NORTH EASTON, MA 02356
NORTH EASTON, MA 02356
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 Kathleen Petillo's NPI number?
The NPI number for Kathleen Petillo is 1093949232. It was assigned to this individual provider in the NPPES registry on May 1, 2009.
Where is Kathleen Petillo located?
Kathleen Petillo practices at 31 Roche Bros Way, North Easton, MA 02356. The listed phone number is (508) 894-8760.
What is Kathleen Petillo's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Kathleen Petillo enrolled in Medicare?
Yes. Kathleen Petillo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kathleen Petillo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Petillo reassigns Medicare benefits to Children's Hospital Pediatric Associates, Inc (Boston, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathleen Petillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathleen Petillo accept?
Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Kathleen Petillo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kathleen Petillo was last updated on July 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Kathleen Marie Petillo, D.O. · NPI 1093949232
Pediatrics physician in North Easton, Massachusetts. Individual provider, active in the CMS NPPES registry since May 1, 2009.
## Identity
- **NPI:** 1093949232 (Entity type: Individual)
- **Enumerated:** May 1, 2009
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 263552 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 31 ROCHE BROS WAY, North Easton, MA 02356
- **Phone:** (508) 894-8760 · **Fax:** (508) 894-8762
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Children's Hospital Pediatric Associates, Inc (NPI 1457306664, Boston, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 23, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1093949232) · Data from the CMS NPPES public registry.