JOHN ALBERT PEZZULLO III MD
NPI 1528056496
Radiology - Diagnostic Radiology in Warwick, RI

Active since October 13, 2005PECOS EnrolledAccepts Medicare Assignment
83.83/100
CMS Quality Rating
125 METRO CENTER BLVD STE 2000, WARWICK, RI 02886(401) 432-2520(401) 453-8220 Get Directions Write a Review

NPPES record last updated: March 19, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About John Albert Pezzullo Iii Md NPPES

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

JOHN ALBERT PEZZULLO III MD (NPI 1528056496) is an individual diagnostic radiology provider in Warwick, Rhode Island, licensed in Rhode Island (MD10244) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Sturdy Memorial Hospital, and is a graduate of Geisel School Of Medicine At Dartmouth (1995).

NPPES Registry Identity

NPI1528056496
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJOHN ALBERT PEZZULLO IIICredential: MD
Location Address125 METRO CENTER BLVD STE 2000Warwick, RI 02886-1785
Mailing Address125 Metro Center Blvd Ste 2000Warwick, RI 02886-1785 · (401) 432-2520 · Fax (401) 453-8220
Fax(401) 453-8220
Sole ProprietorNo
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 1995
Enumeration DateOctober 13, 2005
Last NPPES UpdateMarch 19, 2019
NPI 1528056496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in RI · MD10244 Licensed in RI · 10244 Licensed in MA · 212505
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
125 METRO CENTER BLVD STE 2000, Warwick, RI 02886

Other Identifiers 15

Other003117117Ct Med Assistance
Other407649Bluechip
Other9102814Phhcs
Other010244Blueshield
Other3208486Healthystart
Other241272Rihpilgrim
Other300108647Railroadmedicare
Other007008121Hospital Pin
Other7008119Rimedicalassistance
Other010244Tufts
Other3208486Massmedicaid
Other0000000001988Nhpri
Other007008119Medicare
Other1600094Unitedhealthplans
Other720099401Cigna

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

John Albert Pezzullo Iii Md 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 ID840355269
PECOS Enrollment IDI20090219000266, I20180613001154
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.

Areas of Expertise CMS Part B claims 49

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
2,800 services28 patients
Injection, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
2,450 services13 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
370 services317 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
290 services286 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
271 services262 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
183 services182 patients

Hospital Affiliations CMS Care Compare 5

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

Sturdy Memorial Hospital

Acute Care Hospitals · Attleboro, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220008
Location211 Park StreetAttleboro, MA 02703 · Bristol County
Emergency services Birthing friendly

Roger Williams Medical Center

Acute Care Hospitals · Providence, RI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number410004
Location825 Chalkstone AvenueProvidence, RI 02908 · Providence County
Emergency services

Our Lady Of Fatima Hospital

Acute Care Hospitals · North Providence, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410005
Location200 High Service AvenueNorth Providence, RI 02904 · Providence County
Emergency services

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02886 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80
Improvement Activities40
Cost82.79

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.

Radiology (Diagnostic Radiology)
125 METRO CENTER BLVD STE 2000
WARWICK, RI 02886
Radiology (Diagnostic Radiology)
125 METRO CENTER BLVD STE 2000
WARWICK, RI 02886
Radiology (Diagnostic Radiology)
125 METRO CENTER BLVD STE 2000
WARWICK, RI 02886
Radiology (Diagnostic Radiology)
125 METRO CENTER BLVD STE 2000
WARWICK, RI 02886
Physician Assistant
125 METRO CENTER BLVD STE 2000
WARWICK, RI 02886
Radiology (Diagnostic Radiology)
125 METRO CENTER BLVD STE 2000
WARWICK, RI 02886
Radiology (Diagnostic Radiology)
125 METRO CENTER BLVD STE 2000
WARWICK, RI 02886
Radiology (Diagnostic Radiology)
125 METRO CENTER BLVD STE 2000
WARWICK, RI 02886

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 John Pezzullo's NPI number?

The NPI number for John Pezzullo is 1528056496. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Where is John Pezzullo located?

John Pezzullo practices at 125 Metro Center Blvd Ste 2000, Warwick, RI 02886. The listed phone number is (401) 432-2520.

What is John Pezzullo's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is John Pezzullo enrolled in Medicare?

Yes. John Pezzullo 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.

Is John Pezzullo affiliated with any hospitals?

According to CMS data, John Pezzullo is affiliated with Sturdy Memorial Hospital, Roger Williams Medical Center, Our Lady Of Fatima Hospital, Rhode Island Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for John Pezzullo was last updated on March 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.