JOHN ALBERT III PEZZULLO (MD) – Diagnostic Radiology Physician, NPI 1528056496

JOHN ALBERT III PEZZULLO (MD) is a healthcare provider. based in Warwick, Rhode Island. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 212505 (MA). The NPI Number for JOHN ALBERT III PEZZULLO (MD) is 1528056496

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
JOHN ALBERT III PEZZULLO (MD)
NPI
1528056496
Phone
(401) 432-2520
Address
125 METRO CENTER BLVD STE 2000
Enumeration Date
13 October 2005
Last Update Date
19 March 2019

Doctor Profile

Medical School Name
GEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Secondary Phone
4019219202
Graduation Year
1995 (31 years ago)
PAC ID
0840355269
Group Practice PAC ID
8022097815
Professional Enrollment ID
I20090219000266
Address ID
RI028793626WA481XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:20State licenses:3Digital endpointsOther names

242 DIAGNOSTIC RADIOLOGY in RI

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Provider Addresses for JOHN ALBERT III PEZZULLO (MD)

  • Metro Center Boulevard, Warwick, Kent County, Rhode Island, 02886, United States

    WARWICK, RI 028861785

    Phone: (401) 432-2520

    Fax: (401) 453-8220

    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)

CMS reports 3 Open Payments records for all available years, with a total value of $264.

Total Amount is formed as General ($264) + Research ($0) + Ownership ($0) = $264.

Last reported payment date: 2024-06-19 • Largest payer in this snapshot: Siemens Medical Solutions USA, Inc. ($264).

Total Amount

$264

General + Research + Ownership

Payments

3

Total payment records

General Amount

$264

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-06-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20090219000266IDiagnostic RadiologyRITBD
I20180613001154IDiagnostic RadiologyMATBD

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
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml5,30052$0
A9575Injection, gadoterate meglumine, 0.1 ml4,95026$0
71045X-ray of chest, 1 view658537$0
71046X-ray of chest, 2 views386370$0
70450Ct scan head or brain without contrast355342$0
View full utilization report →

Insurance plans in this area (ZIP 02886)

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Provider's Procedures

JOHN ALBERT III PEZZULLO (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYRI71010X-ray of chest, 1 view, front463385
DIAGNOSTIC RADIOLOGYRI71250CT scan chest3332
DIAGNOSTIC RADIOLOGYRI73110X-ray of wrist, minimum of 3 views2523
DIAGNOSTIC RADIOLOGYRI73562X-ray of knee, 3 views2015
DIAGNOSTIC RADIOLOGYRI73630X-ray of foot, minimum of 3 views2421
DIAGNOSTIC RADIOLOGYRI74177CT scan of abdomen and pelvis with contrast3030
DIAGNOSTIC RADIOLOGYRI76830Ultrasound pelvis through vagina1212

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: 8022097815View full group profile
NameSpecialtyState
Diagnostic RadiologyRI
Diagnostic RadiologyRI
Diagnostic RadiologyRI
-RI
Diagnostic RadiologyMA
Diagnostic RadiologyRI
Diagnostic RadiologyRI
Diagnostic RadiologyRI
Diagnostic RadiologyRI
Diagnostic Radiology, Nuclear MedicineRI

Reviews

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Frequently asked questions

What identifier follows JOHN ALBERT III PEZZULLO (MD) across health systems?
The NPI 1528056496 uniquely identifies JOHN ALBERT III PEZZULLO (MD) in U.S. healthcare data.
Quick check: is JOHN ALBERT III PEZZULLO (MD) active?
Public NPPES data shows JOHN ALBERT III PEZZULLO (MD) with an active NPI status right now.
What type of care does JOHN ALBERT III PEZZULLO (MD) provide?
JOHN ALBERT III PEZZULLO (MD)'s profile centers on Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JOHN ALBERT III PEZZULLO (MD)?
JOHN ALBERT III PEZZULLO (MD) is associated with Warwick, Rhode Island in the same public data insurers reference.
Why is information missing for JOHN ALBERT III PEZZULLO (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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