DR. KEVIN PETER PETIT (M.D.) – Neonatal-Perinatal Medicine Physician, NPI 1750400461

DR. KEVIN PETER PETIT (M.D.) is a healthcare provider. based in Brockton, Massachusetts. specializing in Neonatal-Perinatal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 56159 (MA). The NPI Number for DR. KEVIN PETER PETIT (M.D.) is 1750400461

Main info

Male
Name
DR. KEVIN PETER PETIT (M.D.)
NPI
1750400461
Phone
(508) 941-7580
Address
680 Centre St
Enumeration Date
28 March 2007
Last Update Date
14 November 2018
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. KEVIN PETER PETIT (M.D.)

  • 680 Centre St

    Brockton, MA 023023308

    Phone: (508) 941-7580

    Type: Location

  • 79 GRAFTON AVE

    MILTON, MA 021865408

    Phone: (617) 696-1118

    Fax: (617) 636-8391

    Type: Mailing

  • 750 WASHINGTON ST

    BOX #44

    BOSTON, MA 021111526

    Phone: (617) 636-4194

    Fax: (617) 636-8391

    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: 2005-10-24

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
I20051024001018IPediatric MedicineMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02302)

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Reviews

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Frequently asked questions

Is there an official ID for DR. KEVIN PETER PETIT (M.D.) in U.S. healthcare records?
The official identifier for DR. KEVIN PETER PETIT (M.D.) is NPI 1750400461.
Would DR. KEVIN PETER PETIT (M.D.) appear as active to a payer?
You can treat DR. KEVIN PETER PETIT (M.D.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. KEVIN PETER PETIT (M.D.)?
DR. KEVIN PETER PETIT (M.D.)'s record emphasizes Neonatal-Perinatal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is DR. KEVIN PETER PETIT (M.D.) registered?
Use Brockton, Massachusetts as the headline location for DR. KEVIN PETER PETIT (M.D.) here.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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