Christopher Pezzullo, D.O.
NPI 1417933060 · Pediatrics Physician · Portland, ME
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Christopher Pezzullo, D.O. is a Pediatrics Physician provider in Portland, ME (NPI 1417933060).
Provider details
- NPI number
- 1417933060
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 1505 (ME)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-12-15
- Last updated
- 2016-06-24
Frequently asked questions
- What is Christopher Pezzullo's NPI number?
- Christopher Pezzullo's National Provider Identifier (NPI) is 1417933060, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Christopher Pezzullo's specialty?
- Christopher Pezzullo is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Christopher Pezzullo located?
- Christopher Pezzullo's practice location on file with NPPES is 295 Forest Ave, Portland, ME 04101-2018.
- What is Christopher Pezzullo's phone number?
- The practice phone number listed in the NPPES registry for Christopher Pezzullo is (207) 772-5437.
- Does Christopher Pezzullo accept Medicare?
- Christopher Pezzullo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Christopher Pezzullo's NPI active?
- Yes — Christopher Pezzullo's NPI (1417933060) is active in the NPPES registry as of the last update on 2016-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.