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DR. KEVIN PETER PETIT M.D.
NPI 1750400461
Pediatrics - Neonatal-Perinatal Medicine in Boston, MA

Active since March 28, 2007PECOS Enrolled
750 WASHINGTON ST, BOX #44, BOSTON, MA 02111(617) 636-4194(617) 636-8391 Get Directions Write a Review

NPPES record last updated: November 14, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 14, 2018, Sep 19, 2018 (2 updates tracked since 2018).

About Dr. Kevin Peter Petit M.d. NPPES

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

DR. KEVIN PETER PETIT M.D. (NPI 1750400461) is an individual neonatal-perinatal medicine provider in Boston, Massachusetts, licensed in Massachusetts (56159) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Brockton.

NPPES Registry Identity

NPI1750400461
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. KEVIN PETER PETITCredential: M.D.
Location Address750 WASHINGTON ST, BOX #44Boston, MA 02111-1526
Mailing Address79 Grafton AveMilton, MA 02186-5408 · (617) 696-1118 · Fax (617) 636-8391
Phone(617) 636-4194
Fax(617) 636-8391
Sole ProprietorNo
Enumeration DateMarch 28, 2007
Last NPPES UpdateNovember 14, 20182 updates tracked since enumeration
✔ NPI 1750400461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in MA · 56159
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
750 WASHINGTON ST, Boston, MA 02111
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Secondary Practice Location 1

Location 1680 Centre StBrockton, MA 02302-3308 · Phone (508) 941-7580

Other Identifiers 1

Medicaid3044319MA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin Peter Petit 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 20

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

KEIKO UEDA MPH, RD, LDN
Dietitian, Registered
750 WASHINGTON ST, TNEMC BOX#434
BOSTON, MA 02111
Suffolk County (617) 636-5458
COLLEEN MCARTOR CRNA
Nurse Anesthetist, Certified Registered
750 WASHINGTON ST, NEMC BOX #7105
BOSTON, MA 02111
Suffolk County (617) 636-5000
DR. KATHLEEN BUNGAY PHARMD, MS
Pharmacist (Psychiatric)
750 WASHINGTON ST, THE HEALTH INSTITUTE, BOX 345
BOSTON, MA 02111
Suffolk County (617) 636-3292
ALEXIS MADEJ M.S., R.D., L.D.N.
Dietitian, Registered
750 WASHINGTON ST, FRANCES STERN NUTRITION CENTER
BOSTON, MA 02111
Suffolk County (617) 636-5273
DR. NADINE YOUSSEF M.D.
Emergency Medicine
750 WASHINGTON ST, BOX 311 / DEPARTMENT OF EMERGENCY MEDICINE
BOSTON, MA 02111
Suffolk County (617) 636-4723
DR. GORDON M SAPERIA MD
Internal Medicine (Interventional Cardiology)
750 WASHINGTON ST
BOSTON, MA 02111
Suffolk County (617) 636-5000
ANBUKILI K. CHETTY M.D.
Pediatrics (Pediatric Pulmonology)
750 WASHINGTON ST, NEMC BOX #836
BOSTON, MA 02111
Suffolk County (617) 636-5000
KATIE WAKELEY M.D.
Obstetrics & Gynecology
750 WASHINGTON ST, NEMC BOX #836
BOSTON, MA 02111
Suffolk County (617) 636-5000

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 Kevin Petit's NPI number?

The NPI number for Kevin Petit is 1750400461. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Kevin Petit located?

Kevin Petit practices at 750 Washington St Box #44, Boston, MA 02111. The listed phone number is (617) 636-4194.

What is Kevin Petit's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Kevin Petit enrolled in Medicare?

Yes. Kevin Petit is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Petit was last updated on November 14, 2018. 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.