JAMES M CERULLO (PA-C) – Physician Assistant, NPI 1982960696

JAMES M CERULLO (PA-C) is a healthcare provider. based in Providence, Rhode Island. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA4793 (MA). The NPI Number for JAMES M CERULLO (PA-C) is 1982960696

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
JAMES M CERULLO (PA-C)
NPI
1982960696
Phone
(401) 854-2504
Address
125 WHIPPLE STREET
Enumeration Date
6 April 2012
Last Update Date
24 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7817924136
Graduation Year
2011 (15 years ago)
PAC ID
3779730551
Group Practice PAC ID
7113029257
Professional Enrollment ID
I20131125001464
Address ID
MA021902432WE55XXXRDXX300

Contacts

FHIR Endpoint
https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Secure Messaging
jcerullo338459@UmassMemorial.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:14State licenses:2Other namesUpdated within 12 months

5,093 PHYSICIAN ASSISTANT in MA

Provider Addresses for JAMES M CERULLO (PA-C)

  • 125 WHIPPLE STREET

    3RD FLOOR

    PROVIDENCE, RI 029083258

    Phone: (401) 854-2504

    Fax: (401) 427-7795

    Type: Mailing

  • 119 Belmont St

    Worcester, MA 016052903

    Phone: (774) 443-7552

    Fax: (774) 441-6086

    Type: Location

  • 55 Lake Ave N

    Worcester, MA 016550002

    Phone: (774) 443-7552

    Fax: (774) 441-6086

    Type: Location

  • 455 Toll Gate Rd

    Warwick, RI 028862759

    Phone: (401) 737-7010

    Fax: (401) 736-4546

    Type: Location

  • 200 HIGH SERVICE AVE

    NORTH PROVIDENCE, RI 029045113

    Phone: (401) 456-3000

    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: 2013-11-25

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
I20120830000080IPhysician AssistantRITBD
I20131125001464IPhysician AssistantMATBD

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
99291Critical care, first 30-74 minutes7673$0
36620Insertion of artery tube for blood sampling or infusion through skin2221$0
36556Insertion of non-tunneled central venous tube for infusion (5 years or older)2019$0
99285Emergency department visit with high level of medical decision making1918$0
99284Emergency department visit with moderate level of medical decision making1515$0
View full utilization report →

Insurance plans in this area (ZIP 02908)

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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: 7113029257View full group profile
NameSpecialtyState
Pain Management, AnesthesiologyMA
-MA
Physician AssistantMA
General SurgeryNJ
U R O L O G YMA
Internal MedicineME
Physician AssistantIN
O B S T E T R I C S/ G Y N E C O L O G YMA
Physician AssistantMA
Emergency MedicineMA

Reviews

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Frequently asked questions

Can I cross-check JAMES M CERULLO (PA-C) using NPI 1982960696?
NPI 1982960696 belongs to JAMES M CERULLO (PA-C); compare other details if you need extra assurance.
Is there an active status for JAMES M CERULLO (PA-C)?
For scheduling context, JAMES M CERULLO (PA-C) is shown as active in the registry.
What kind of doctor is JAMES M CERULLO (PA-C)?
JAMES M CERULLO (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Where in Rhode Island is JAMES M CERULLO (PA-C) registered?
Use Providence, Rhode Island as the headline location for JAMES M CERULLO (PA-C) here.
When was this NPI issued?
Enumeration for JAMES M CERULLO (PA-C) is noted as April 6, 2012 where the registry provides it.

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