KEVIN PETRILLO MD
NPI 1487594289
Student in an Organized Health Care Education/Training Program in Burlington, VT

Q: What is Kevin Petrillo's NPI number?

The NPI number for Kevin Petrillo is 1487594289. It was assigned to this individual provider in the NPPES registry on March 31, 2026.

Q: What is Kevin Petrillo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Petrillo was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since March 31, 2026PECOS Enrolled

111 COLCHESTER AVE, BURLINGTON, VT 05401(802) 847-2345 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kevin Petrillo Md NPPES

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

KEVIN PETRILLO MD (NPI 1487594289) is an individual student in an organized health care education/training program in Burlington, Vermont and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487594289

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKEVIN PETRILLOCredential: MD

Location Address111 COLCHESTER AVEBurlington, VT 05401-1473

Mailing Address111 Colchester AveBurlington, VT 05401-1473 · (802) 847-2345

Phone(802) 847-2345

Sole ProprietorNo

Enumeration DateMarch 31, 2026

NPPES CertifiedMarch 31, 2026

✔ NPI 1487594289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

111 COLCHESTER AVE, Burlington, VT 05401

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Petrillo Md 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.

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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.

ELENA KOZAKEWICH

Internal Medicine (Pulmonary Disease)

111 COLCHESTER AVE, UVM MEDICAL CENTER, DEPT OF INTERNAL MEDICINE, 222WP2
BURLINGTON, VT 05401

Chittenden County (802) 847-2700

ANDREW HUY NGUYEN MD

Student in an Organized Health Care Education/Training Program