PETER J. PITOCCHI MD PA
NPI 1477803849
Internal Medicine in Orange Park, FL
About Peter J. Pitocchi Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PETER J. PITOCCHI MD PA (NPI 1477803849) is a healthcare organization registered as an internal medicine in Orange Park, Florida and active in the NPI registry since September 2012. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Peter John Pitocchi, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Peter J. Pitocchi Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Peter J. Pitocchi MD PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D1020541
Peter Pitocchi MD PA · Orange Park, FLFrequently 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 J. Pitocchi MD PA's NPI number?
The NPI number for Peter J. Pitocchi MD PA is 1477803849. It was assigned to this organization in the NPPES registry on September 13, 2012.
Where is Peter J. Pitocchi MD PA located?
Peter J. Pitocchi MD PA is located at 1555 Kingsley Ave Ste 501, Orange Park, FL 32073. The listed phone number is (904) 264-2402.
What is Peter J. Pitocchi MD PA's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Peter J. Pitocchi MD PA enrolled in Medicare?
Yes. Peter J. Pitocchi MD PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Peter J. Pitocchi MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Peter J. Pitocchi MD PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Peter J. Pitocchi MD PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D1020541) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Peter J. Pitocchi MD PA was last updated on October 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Peter J. Pitocchi Md Pa · NPI 1477803849
Internal Medicine organization in Orange Park, Florida. Organization record, active in the CMS NPPES registry since September 13, 2012.
## Identity
- **NPI:** 1477803849 (Entity type: Organization)
- **Enumerated:** September 13, 2012
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Peter Pitocchi, PRESIDENT
## Practice location
- **Address:** 1555 KINGSLEY AVE, STE 501, Orange Park, FL 32073-4560
- **Phone:** (904) 264-2402 · **Fax:** (904) 264-0933
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 18, 2012
- **Other identifiers:** Medicare PIN GN133A (FL); Medicaid 3701689000 (FL); Other 110168454 (FL); and 1 more
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1477803849) · Data from the CMS NPPES public registry.