Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336385350 Individual Practitioner Male Practitioner

Dr. Steven Raymond Pezzullo , MD

General Practice • Coventry, RI

Professional Overview & Biography Verified Profile Summary

Dr. Steven Pezzullo, MD is a registered healthcare professional specializing in General Practice in Coventry, RI. Practice services are available at 982 TIOGUE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

982 Tiogue Ave

Coventry, RI 028166167

Telephone 4018216800
Fax 4018218513
Associated Practice Facility / Clinic
🏢 Pawtuxet Valley Medical, Inc. Facility NPI 1467478156

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Coventry, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Coventry, RI (25 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License RI 5845

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7003151 (RI)
Commercial Insurance / Payer ID Blue Cross
1336385350
Commercial Insurance / Payer ID United Healthcare
1336385350

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Dr. Violeta Manansala , MD

Radiology - Diagnostic Radiology

NPI 1114060431

Doctor of Medicine (M.D.)

NPI 1154419125

Doctor of Medicine (M.D.)

Rachael Maina-Delgado , PA-C

Physician Assistant

NPI 1225587264

Physician Assistant (Certified)

Cara O'connor , FNP

Nurse Practitioner - Family

NPI 1407371453

Family Nurse Practitioner

Natasha Almeida , PA-C

Physician Assistant

NPI 1417332685

Physician Assistant (Certified)

Dr. A. Derobbio , MD

Family Medicine

NPI 1578511788

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 04, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location October 04, 2010

Registered at 982 TIOGUE AVE, COVENTRY, RI 028166167 (Tel: 4018216800)

📍
Updated Business Mailing Address October 04, 2010

Registered at 982 TIOGUE AVE, COVENTRY, RI 028166167 (Tel: 4018216800)

👤
Provider Name / Credentials Updated October 04, 2010

Recorded as STEVEN PEZZULLO, M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2010

General Practice (License #5845 in RI)

🟢
Initial NPI Registration & Enumeration December 22, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336385350
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 22, 2008
Last Update: October 04, 2010
Sole Proprietor: No

Mailing Address

982 Tiogue Ave

Coventry, RI 028166167

Phone: 4018216800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.