DR. KATHLEEN MARIE PETILLO D.O.
NPI 1093949232
Pediatrics in North Easton, MA

Active since May 01, 2009PECOS Enrolled
31 ROCHE BROS WAY, NORTH EASTON, MA 02356(508) 894-8760(508) 894-8762 Get Directions Write a Review

NPPES record last updated: July 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1093949232
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KATHLEEN MARIE PETILLOCredential: D.O.
Location Address31 ROCHE BROS WAYNorth Easton, MA 02356
Mailing Address31 Roche Bros WayNorth Easton, MA 02356-1032 · (508) 894-8760 · Fax (508) 894-8762
Fax(508) 894-8762
Sole ProprietorNo
Enumeration DateMay 1, 2009
Last NPPES UpdateJuly 23, 2019
NPI 1093949232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in NY · 263552 Licensed in MA · 253293
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
31 ROCHE BROS WAY, North Easton, MA 02356

Secondary Practice Locations 2

Location 11800 Maple RdWilliamsville, NY 14221-2749 · Phone (716) 636-5437
Location 2430 Liberty StHanson, MA 02341-1113 · Phone (781) 293-3838 · Fax (781) 293-3639

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Dermatology
31 ROCHE BROS WAY, SUITE 200
NORTH EASTON, MA 02356
Pediatrics
31 ROCHE BROS WAY
NORTH EASTON, MA 02356
Dermatology
31 ROCHE BROS WAY, SUITE 200
NORTH EASTON, MA 02356
Nurse Practitioner
31 ROCHE BROS WAY
NORTH EASTON, MA 02356
Nurse Practitioner (Women's Health)
31 ROCHE BROS WAY
NORTH EASTON, MA 02356
Urology
31 ROCHE BROS WAY, UNIT 100
NORTH EASTON, MA 02356
Dermatology (Clinical & Laboratory Dermatological Immunology)
31 ROCHE BROS WAY, SUITE 200
NORTH EASTON, MA 02356
Registered Nurse (Women's Health Care, Ambulatory)
31 ROCHE BROS WAY
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.

What insurance does Kathleen Petillo accept?

Health plans from Anthem Blue Cross and Blue Shield 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.