ANTHONY PETTINATO MD, PHD
NPI 1255033635
Student in an Organized Health Care Education/Training Program in Boston, MA
About Anthony Pettinato Md, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANTHONY PETTINATO MD, PHD (NPI 1255033635) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Anthony Pettinato Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
BOSTON, MA 02215
BOSTON, MA 02215
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 Anthony Pettinato's NPI number?
The NPI number for Anthony Pettinato is 1255033635. It was assigned to this individual provider in the NPPES registry on March 20, 2023. The provider is also known as Tony Pettinato MD, Phd.
Where is Anthony Pettinato located?
Anthony Pettinato practices at 185 Pilgrim Rd, Boston, MA 02215. The listed phone number is (617) 632-7828.
What is Anthony Pettinato's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Anthony Pettinato enrolled in Medicare?
Yes. Anthony Pettinato is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Anthony Pettinato was last updated on November 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.
# Anthony Pettinato, MD, PHD · NPI 1255033635
Student in an Organized Health Care Education/Training Program provider in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since March 20, 2023.
## Identity
- **NPI:** 1255033635 (Entity type: Individual)
- **Enumerated:** March 20, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 185 PILGRIM RD, Boston, MA 02215-5324
- **Phone:** (617) 632-7828
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** November 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1255033635) · Data from the CMS NPPES public registry.