MARIARITA P PETRILLO-BOLANOS M.D.
NPI 1700843919
Emergency Medicine in Dartmouth, MA
About Mariarita P Petrillo-bolanos M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIARITA P PETRILLO-BOLANOS M.D. (NPI 1700843919) is an individual emergency medicine provider in Dartmouth, Massachusetts, licensed in Massachusetts (202570) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dartmouth, and is a graduate of Boston University School Of Medicine (1994).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mariarita P Petrillo-bolanos M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Mariarita Petrillo-bolanos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dartmouth, MA 02747
- Reassigned Medicare billing, Massachusetts enrollment
- 241 clinicians in this Medicare group
Taunton, MA 02780
- Reassigned Medicare billing, Massachusetts enrollment
- 547 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 18
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02747 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Mariarita Petrillo-bolanos's NPI number?
The NPI number for Mariarita Petrillo-bolanos is 1700843919. It was assigned to this individual provider in the NPPES registry on May 1, 2006.
Where is Mariarita Petrillo-bolanos located?
Mariarita Petrillo-bolanos practices at 531 Faunce Corner Rd, Dartmouth, MA 02747. The listed phone number is (508) 996-3991.
What is Mariarita Petrillo-bolanos's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Mariarita Petrillo-bolanos enrolled in Medicare?
Yes. Mariarita Petrillo-bolanos is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Mariarita Petrillo-bolanos's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mariarita Petrillo-bolanos reassigns Medicare benefits to 2 organizations: Steward Medical Group, Inc (Dartmouth, MA) and Lifespan Physician Group Of Massachusetts Inc (Taunton, MA). Each 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 Mariarita Petrillo-bolanos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mariarita Petrillo-bolanos was last updated on April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.