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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAMES M CERULLO PA-C
NPI 1982960696
Physician Assistant in North Providence, RI

Active since April 06, 2012PECOS Enrolled
200 HIGH SERVICE AVE, NORTH PROVIDENCE, RI 02904(401) 456-3000 Get Directions Write a Review

NPPES record last updated: July 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 26, 2026, Jan 24, 2022, Mar 27, 2021 and 1 more (4 updates tracked since 2020).

About James M Cerullo Pa-c NPPES

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

JAMES M CERULLO PA-C (NPI 1982960696) is an individual physician assistant in North Providence, Rhode Island, licensed in Rhode Island (PA00645) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with South Shore Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1982960696
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJAMES M CERULLOCredential: PA-C
Location Address200 HIGH SERVICE AVENorth Providence, RI 02904-5113
Mailing Address125 Whipple Street, 3rd FloorProvidence, RI 02908-3258 · (401) 854-2504 · Fax (401) 427-7795
Phone(401) 456-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 6, 2012
Last NPPES UpdateJuly 26, 20264 updates tracked since enumeration
NPPES CertifiedJuly 26, 2026
✔ NPI 1982960696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in RI · PA00645✔ Licensed in MA · PA4793
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
200 HIGH SERVICE AVE, North Providence, RI 02904
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1119 Belmont StWorcester, MA 01605-2903 · Phone (774) 443-7552 · Fax (774) 441-6086
Location 255 Lake Ave NWorcester, MA 01655-0002 · Phone (774) 443-7552 · Fax (774) 441-6086
Location 3455 Toll Gate RdWarwick, RI 02886-2759 · Phone (401) 737-7010 · Fax (401) 736-4546
Location 475 Francis StBoston, MA 02115-6106 · Phone (617) 732-5500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

James M Cerullo Pa-c 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 ID3779730551
PECOS Enrollment IDI20131125001464
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 4

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
69 services69 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
23 services23 patients
Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
22 services21 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220100
Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02904 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.

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.

ST. JOSEPH HEALTH SERVICES OF RI
General Acute Care Hospital
200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI 02904
Providence County (401) 456-3000
THOMAS HOPKINS P.A.
Physician Assistant
200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI 02904
Providence County (401) 456-3000
CHRISTINE L CONSTANTINEAU CSW
Social Worker (Clinical)
200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI 02904
Providence County (401) 456-3000
JONA VOLCY
Social Worker
200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI 02904
Providence County (401) 456-2525
UCHECHUKWU UGORJI DO
Psychiatry & Neurology (Psychiatry)
200 HIGH SERVICE AVE
N PROVIDENCE, RI 02904
Providence County (401) 456-3000
DR. KATHERINE MARIE WATERS M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI 02904
Providence County (401) 456-3155
VLADANA ALEMAN-BRIZUELA M.D.
Emergency Medicine
200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI 02904
Providence County (401) 456-3000
ABDOL HAMID SHAHINFAR MD
Radiology (Diagnostic Radiology)
200 HIGH SERVICE AVE, RADIOLOGY DEPARTMENT
NORTH PROVIDENCE, RI 02904
Providence County (413) 456-4215

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 James Cerullo's NPI number?

The NPI number for James Cerullo is 1982960696. It was assigned to this individual provider in the NPPES registry on April 6, 2012.

Where is James Cerullo located?

James Cerullo practices at 200 High Service Ave, North Providence, RI 02904. The listed phone number is (401) 456-3000.

What is James Cerullo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is James Cerullo enrolled in Medicare?

Yes. James Cerullo 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.

What insurance does James Cerullo accept?

Health plans from Anthem Blue Cross and Blue Shield list James Cerullo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Cerullo affiliated with any hospitals?

According to CMS data, James Cerullo is affiliated with South Shore Hospital.

When was this NPI record last updated?

The NPPES record for James Cerullo was last updated on July 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.