PETER PORRELLO (MD) – Emergency Medicine Physician, NPI 1710962097

PETER PORRELLO (MD) is a healthcare provider. based in Waterbury, Connecticut. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 038050 (CT). The NPI Number for PETER PORRELLO (MD) is 1710962097

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
PETER PORRELLO (MD)
NPI
1710962097
Phone
(203) 573-6295
Address
64 ROBBINS ST
Enumeration Date
9 December 2005
Last Update Date
17 September 2012

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Secondary Phone
2037397000
Graduation Year
1997 (29 years ago)
PAC ID
3971646761
Group Practice PAC ID
1557273935
Professional Enrollment ID
I20100202000350
Address ID
CT068106099DA24XXXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

839 EMERGENCY MEDICINE in CT

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Provider Addresses for PETER PORRELLO (MD)

  • Church of God New Testament Church, 64, Robbins Street, West Side Hill, Waterbury, New Haven County, Connecticut, 06708, United States

    WATERBURY, CT 067082613

    Phone: (203) 573-6295

    Fax: (203) 573-7613

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-02-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100202000350IEmergency MedicineCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making167165$0
99284Emergency department visit with moderate level of medical decision making112112$0
99291Critical care, first 30-74 minutes3131$0
99283Emergency department visit with low level of medical decision making2121$0
View full utilization report →

Insurance plans in this area (ZIP 06708)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557273935View full group profile
NameSpecialtyState
R H E U M A T O L O G YNY
Emergency MedicineCT
Nurse PractitionerCT
-CT
Emergency MedicineNY
Emergency MedicineCT
Orthopedic SurgeryCT
Emergency MedicineNY
Emergency MedicineFL
Emergency MedicineNY

Reviews

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Frequently asked questions

Does PETER PORRELLO (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — PETER PORRELLO (MD) uses 1710962097.
Can I rely on PETER PORRELLO (MD) being an active provider?
As of the registry snapshot, PETER PORRELLO (MD) is marked active.
What taxonomy line describes PETER PORRELLO (MD)?
For research purposes, treat PETER PORRELLO (MD) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does PETER PORRELLO (MD) serve?
PETER PORRELLO (MD)'s listing highlights Waterbury, Connecticut; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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