ANTONIO EMMANUEL REISOPOULOS PA-C
NPI 1346970340
Physician Assistant in Providence, RI

Q: What is Antonio Reisopoulos's NPI number?

The NPI number for Antonio Reisopoulos is 1346970340. It was assigned to this individual provider in the NPPES registry on June 13, 2022.

Q: What is Antonio Reisopoulos's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since June 13, 2022PECOS EnrolledAccepts Medicare Assignment

7 CENTRAL ST, PROVIDENCE, RI 02907(401) 648-4700 Get Directions Write a Review

NPPES record last updated: June 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Antonio Emmanuel Reisopoulos Pa-c NPPES

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

ANTONIO EMMANUEL REISOPOULOS PA-C (NPI 1346970340) is an individual physician assistant in Providence, Rhode Island, licensed in Rhode Island (PA01470) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1346970340

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameANTONIO EMMANUEL REISOPOULOSCredential: PA-C

Location Address7 CENTRAL STProvidence, RI 02907-2201

Mailing Address7 Central StProvidence, RI 02907-2201 · (401) 648-4700

Phone(401) 648-4700

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJune 13, 2022

NPPES CertifiedJune 13, 2022

✔ NPI 1346970340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in RI · PA01470

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

7 CENTRAL ST, Providence, RI 02907

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Antonio Emmanuel Reisopoulos Pa-c 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 ID244616100

PECOS Enrollment IDI20220929001108

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 02907 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

Most-billed visit code 99213

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 14

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

DR. STACEY ELIZABETH BENBEN DO

Family Medicine