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PETER PETROPOULOS M.D.
NPI 1346291903
Internal Medicine in Wakefield, RI

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
100 KENYON AVE, WAKEFIELD, RI 02879(401) 788-1590(401) 788-1593 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 8, 2021, Dec 11, 2015 (2 updates tracked since 2015).

About Peter Petropoulos M.d. NPPES

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

PETER PETROPOULOS M.D. (NPI 1346291903) is an individual internal medicine provider in Wakefield, Rhode Island, licensed in Rhode Island (07196) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with South County Hospital Inc, and maintains a secondary practice location in Warwick.

NPPES Registry Identity

NPI1346291903
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePETER PETROPOULOSCredential: M.D.
Location Address100 KENYON AVEWakefield, RI 02879-4216
Mailing AddressPo Box 229Wakefield, RI 02880-0229 · (401) 788-3337 · Fax (401) 788-3939
Phone(401) 788-1590
Fax(401) 788-1593
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1985
Enumeration DateMay 16, 2006
Last NPPES UpdateMarch 26, 20242 updates tracked since enumeration
NPPES CertifiedMarch 26, 2024
✔ NPI 1346291903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in RI · 07196✔ Licensed in MA · 242618
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License MD07196 (RI)
100 KENYON AVE, Wakefield, RI 02879
Open in Google Maps ↗

Secondary Practice Location 1

Location 1455 Toll Gate RdWarwick, RI 02886-2759 · Phone (401) 737-7010 · Fax (401) 736-4546

Other Identifiers 1

Medicaid7006588RI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Peter Petropoulos M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264491802
PECOS Enrollment IDI20041008000049
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Peter Petropoulos reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Silver Spring Health Care Management, Inc.
Same address
Internal Medicine
100 KENYON AVE
Wakefield, RI 02879
  • Reassigned Medicare billing, Rhode Island enrollment
  • 54 clinicians in this Medicare group
NPI 1861561193 (401) 788-1590
Lifespan Physician Group, Inc.
26 mi
General Practice
375 WAMPANOAG TRL
Riverside, RI 02915
  • Reassigned Medicare billing, Rhode Island enrollment
  • 1,372 clinicians in this Medicare group
NPI 1215899869 (401) 649-4000
Prime Healthcare Services Landmark LLC
40 mi
Hematology & Oncology
219 CASS AVE
Woonsocket, RI 02895
  • Reassigned Medicare billing, Rhode Island enrollment
  • 119 clinicians in this Medicare group
NPI 1518388651 (401) 769-4100
Hni Medical Services
1,660 mi
Hospitalist
7500 RIALTO BLVD STE 1-140
Austin, TX 78735
  • Reassigned Medicare billing, Rhode Island enrollment
  • 16 clinicians in this Medicare group
NPI 1366735169 (512) 730-3060

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
70 services68 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

South County Hospital Inc

Acute Care Hospitals · Wakefield, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410008
Location100 Kenyon AveWakefield, RI 02879 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02879 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

JILL VOLK D.O.
Emergency Medicine
100 KENYON AVE
WAKEFIELD, RI 02879
Washington County (401) 782-8000
ROBERT CROUSE M.D.
Emergency Medicine (Emergency Medical Services)
100 KENYON AVE
WAKEFIELD, RI 02879
Washington County (508) 675-7535
DIANE E SMITH MD
Internal Medicine (Hospice and Palliative Medicine)
100 KENYON AVE
WAKEFIELD, RI 02879
Washington County (401) 782-8000
MS. CHRISTINE BOIE CNS
Clinical Nurse Specialist (Psychiatric/Mental Health)
100 KENYON AVE
WAKEFIELD, RI 02879
Washington County (401) 788-1277
CASSANDRA TIBBITS
Social Worker
100 KENYON AVE
WAKEFIELD, RI 02879
Washington County (401) 782-8000
JACK L SCHWARTZWALD MD
Internal Medicine
100 KENYON AVE
WAKEFIELD, RI 02879
Washington County (401) 788-1590
PAUL TAFONE M.D.
Emergency Medicine
100 KENYON AVE
WAKEFIELD, RI 02879
Washington County (508) 675-7535
MRS. ELIZABETH ANNE HART ACNP-BC
Nurse Practitioner
100 KENYON AVE
WAKEFIELD, RI 02879
Washington County (401) 788-1590

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 Petropoulos's NPI number?

The NPI number for Peter Petropoulos is 1346291903. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Peter Petropoulos located?

Peter Petropoulos practices at 100 Kenyon Ave, Wakefield, RI 02879. The listed phone number is (401) 788-1590.

What is Peter Petropoulos's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Peter Petropoulos enrolled in Medicare?

Yes. Peter Petropoulos is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Peter Petropoulos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Petropoulos reassigns Medicare benefits to 4 organizations: Silver Spring Health Care Management, Inc. (Wakefield, RI), Lifespan Physician Group, Inc. (Riverside, RI), Prime Healthcare Services Landmark LLC (Woonsocket, RI) and Hni Medical Services (Austin, TX). Each 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 Peter Petropoulos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Peter Petropoulos affiliated with any hospitals?

According to CMS data, Peter Petropoulos is affiliated with South County Hospital Inc.

When was this NPI record last updated?

The NPPES record for Peter Petropoulos was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.