Active NPIIndividual provider

Paul Peso, MD

Radiology, Diagnostic Radiology in Worcester, Massachusetts

NPI Number1598518177
Practice location
55 Lake Ave N, Worcester, MA 01655-0002
Fax
—
Last updated
July 1, 2025

Paul Peso is a Radiology, Diagnostic Radiology based in Worcester, MA. Paul Peso practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Paul Peso is 1598518177 and holds a License No. 3016805 (MA). The current practice location address for Paul Peso is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 508-334-1000.

Provider Profile Details

NPI Number
1598518177
Provider Name
Paul Peso
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
55 Lake Ave N, Worcester, MA 01655-0002
Phone Number
508-334-1000
Primary Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Sole Proprietor
No
Provider Enumeration Date
April 11, 2024
Last Update Date
July 1, 2025
Certification Date
July 1, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Lake Ave N
Worcester, MA 01655-0002
Zip
01655-0002
Phone Number
508-334-1000
Worcester, MA 01655Get directions →

Provider Business Mailing Address Details

Address
6113 Homestead Blvd
Westborough, MA 01581-1078
City
Westborough
State
MA
Zip
01581-1078
Phone Number
774-280-6240

License Information

License Number
3016805
License State
MA
Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Paul Peso, MD?

The NPI number of Paul Peso, MD is 1598518177. It was assigned on April 11, 2024 and is currently active in the NPPES registry.

What is the specialty of Paul Peso, MD?

Paul Peso, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in MA under license number 3016805.

Where does Paul Peso, MD practice?

The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 508-334-1000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1598518177 directly on the NPPES registry website.

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