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PETER PAUL BUONACCORSI M.D.
NPI 1639208978
Psychiatry & Neurology - Child & Adolescent Psychiatry in Raleigh, NC

Active since March 04, 2007PECOS Enrolled
4601 LAKE BOONE TRAIL, SUITE 2C, RALEIGH, NC 27607(919) 348-9195(919) 786-0604 Get Directions Write a Review

NPPES record last updated: June 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peter Paul Buonaccorsi M.d. NPPES

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

PETER PAUL BUONACCORSI M.D. (NPI 1639208978) is an individual child & adolescent psychiatry provider in Raleigh, North Carolina, licensed in North Carolina (2010-01241) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639208978
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NamePETER PAUL BUONACCORSICredential: M.D.
Location Address4601 LAKE BOONE TRAIL, SUITE 2CRaleigh, NC 27607
Mailing Address4601 Lake Boone Trail, Suite 2cRaleigh, NC 27607 · (919) 348-9195 · Fax (919) 786-0604
Phone(919) 348-9195
Fax(919) 786-0604
Sole ProprietorYes
Enumeration DateMarch 4, 2007
Last NPPES UpdateJune 11, 2013
✔ NPI 1639208978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in NC · 2010-01241
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 2010-01241 (NC)
4601 LAKE BOONE TRAIL, Raleigh, NC 27607
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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)

Peter Paul Buonaccorsi M.d. 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.

Other Providers at the Same Location NPPES 6

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

ROBERT GAITLEY CHANDLER DDS MS PA
Dentist
4601 LAKE BOONE TRAIL, SUITE 1A
RALEIGH, NC 27607
Wake County (919) 786-4470
MS. JILL PREYER MA, LMFT
Marriage & Family Therapist
4601 LAKE BOONE TRAIL, STE 2C
RALEIGH, NC 27607
Wake County (919) 773-6666
DR ROBERT J STANCILL DDS MS AND DR ROBERT P SOPKO DDS PA
Dentist (Endodontics)
4601 LAKE BOONE TRAIL, SUITE 2A
RALEIGH, NC 27607
Wake County (919) 781-2334
DR. JOSE L ARMSTRONG MD
Internal Medicine
4601 LAKE BOONE TRAIL, SUITE 2E
RALEIGH, NC 27607
Wake County (919) 781-3978
MS. JEAN S GROSS LCSW
Social Worker (Clinical)
4601 LAKE BOONE TRAIL, SUITE 2C
RALEIGH, NC 27607
Wake County (919) 783-7077
DR. ROBERT J STANCILL DDS MS
Dentist (Endodontics)
4601 LAKE BOONE TRAIL, SUITE 2A
RALEIGH, NC 27607
Wake County (919) 239-4940

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 Buonaccorsi's NPI number?

The NPI number for Peter Buonaccorsi is 1639208978. It was assigned to this individual provider in the NPPES registry on March 4, 2007.

Where is Peter Buonaccorsi located?

Peter Buonaccorsi practices at 4601 Lake Boone Trail Suite 2C, Raleigh, NC 27607. The listed phone number is (919) 348-9195.

What is Peter Buonaccorsi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Peter Buonaccorsi enrolled in Medicare?

Yes. Peter Buonaccorsi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Peter Buonaccorsi was last updated on June 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.