DR. KENNETH J PIVA (D.O.) – Family Medicine Physician, NPI 1750385092

DR. KENNETH J PIVA (D.O.) is a healthcare provider. based in Fairhaven, Massachusetts. specializing in Family Medicine Physician. They hold the professional credentials D.O.. They hold a License No. 60524 (MA). The NPI Number for DR. KENNETH J PIVA (D.O.) is 1750385092

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH J PIVA (D.O.)
NPI
1750385092
Phone
(508) 973-2000
Address
200 MILL ROAD
Enumeration Date
1 June 2005
Last Update Date
23 April 2020

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
5089739500
Graduation Year
1984 (42 years ago)
PAC ID
8426014416
Group Practice PAC ID
0749171957
Professional Enrollment ID
I20041201000849

Contacts

Secure Messaging
kpiva6217@direct.southcoast.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:21State licenses:1Other namesUpdated within 12 months

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Provider Addresses for DR. KENNETH J PIVA (D.O.)

  • 200, Mill Road, Nasketucket, Fairhaven, Bristol County, Massachusetts, 02719, United States

    SUITE 180

    FAIRHAVEN, MA 027195252

    Phone: (508) 973-2000

    Fax: (508) 973-2001

    Type: Mailing

  • North Main Street, Fall River, Bristol County, Massachusetts, 02726, United States

    SUITE 306

    FALL RIVER, MA 027202972

    Phone: (508) 973-9500

    Fax: (508) 973-0351

    Type: Location

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: 2004-12-01

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
I20041201000849IFamily PracticeMATBD

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
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month3027$0
View full utilization report →

Insurance plans in this area (ZIP 02719)

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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: 0749171957View full group profile
NameSpecialtyState
Nurse PractitionerRI
Pain Management, AnesthesiologyMA
Certified Registered Nurse Anesthetist (Crna)MA
Clinical Social WorkerMA
Hospitalist, Internal MedicineMA
Physician AssistantMA
H O S P I T A L I S TMA
Certified Registered Nurse Anesthetist (Crna)RI
Clinical Social WorkerMA
A N E S T H E S I O L O G YMA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. KENNETH J PIVA (D.O.)'s NPI?
Yes. DR. KENNETH J PIVA (D.O.) is listed with NPI 1750385092 in the public NPI dataset.
Can I rely on DR. KENNETH J PIVA (D.O.) being an active provider?
As of the registry snapshot, DR. KENNETH J PIVA (D.O.) is marked active.
What taxonomy line describes DR. KENNETH J PIVA (D.O.)?
For research purposes, treat DR. KENNETH J PIVA (D.O.) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. KENNETH J PIVA (D.O.)?
DR. KENNETH J PIVA (D.O.)'s geographic hint is Fairhaven, Massachusetts in our summary view.
Is the information about DR. KENNETH J PIVA (D.O.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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