PETER JOHN PORCELLI MD
NPI 1295715951
Pediatrics - Neonatal-Perinatal Medicine in Winston Salem, NC
NPI Status: Active since January 19, 2006
Contact Information
MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157
Phone: (336) 716-2255
- Individual
- Male
- Pediatrics
- Neonatal-Perinatal Medicine
- Accepts Insurance
- PECOS Enrolled
About PETER PORCELLI
This page provides the complete NPI Profile along with additional information for Peter Porcelli, a pediatrician established in Winston Salem, North Carolina with a medical specialization in Pediatrics, focusing in neonatal-perinatal medicine . The healthcare provider is registered in the NPI registry with number 1295715951 assigned on January 2006. The practitioner's primary taxonomy code is 2080N0001X with license number 39465 (NC). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1295715951
- Provider Name
- PETER JOHN PORCELLI MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- MEDICAL CENTER BLVD WINSTON SALEM, NC 27157
- Location Phone
- (336) 716-2255
- Mailing Address
- PO BOX 344 WINSTON SALEM, NC 27102
- Mailing Phone
- (336) 716-2255
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-19-2006
- Last Update Date
- 12-28-2011
- Code Navigator
A pediatrician like Peter Porcelli is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Neonatal-Perinatal Medicine
- Taxonomy Code
- 2080N0001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 39465
- License State
- NC
- Taxonomy Description
- A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Bronze Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 47359 | OTHER (01) | MEDCOST | |
| 6805 | OTHER (01) | PARTNERS | |
| 5473696 | OTHER (01) | AETNA | |
| 68446 | OTHER (01) | BCBS | |
| 8968446 | MEDICAID (05) | NC | |
| E64902 | MEDICARE UPIN (02) | ||
| 6717934 | MEDICAID (05) | VA |
Medicare Participation & PECOS Enrollment Status
Peter Porcelli is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 9 | 5 | 7 | 1 | 5 | 9 | 5 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 18 | 5 | 14 | 1 | 10 | 9 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 8 + 5 + 1 + 4 + 1 + 1 + 0 + 9 + 1 + 0 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1295715951 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1811990815 | MR. GARY LEE RAY MSN, CRNA Individual | Nurse Anesthetist, Certified Registered | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 713-2555 |
| 1548264310 | PETER A VALEN MD Individual | Internal Medicine (Rheumatology) | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1053393306 | MR. JAMES BOYD THOMAS CRNA Individual | Nurse Anesthetist, Certified Registered | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-6719 |
| 1962484212 | MARTHA SCHELL SOOTS CRNA Individual | Nurse Anesthetist, Certified Registered | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-3069 |
| 1659352961 | MS. LINDA MARIE SANGIULIANO CRNA Individual | Nurse Anesthetist, Certified Registered | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-6701 |
| 1376524686 | KAREN M HARP CRNA Individual | Nurse Anesthetist, Certified Registered | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-6719 |
| 1962483297 | MRS. ALISA LAWSON STARBUCK RN NNP Individual | Nurse Practitioner (Neonatal) | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 713-6498 |
| 1477535599 | RICHARD HENRY DEAN MD Individual | Surgery (Vascular Surgery) | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1366424483 | CHERYL B KIRKPATRICK CRNA Individual | Nurse Anesthetist, Certified Registered | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-6719 |
| 1386626349 | CAROLYN RUTH FERREE MD Individual | Radiology (Radiation Oncology) | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1538141585 | EDWARD GUS SHAW MD Individual | Radiology (Radiation Oncology) | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1447232400 | MARK CAUTHEN WILLINGHAM MD Individual | Pathology (Anatomic Pathology) | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1528040581 | BART ALAN FRIZZELL MD Individual | Radiology (Radiation Oncology) | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1396727996 | RAMON VELEZ MD Individual | Internal Medicine | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1154303519 | PETER RIBACK LICHSTEIN MD Individual | Internal Medicine | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1497737894 | MRS. DONNA LEA MYERS CRNA Individual | Nurse Anesthetist, Certified Registered | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 713-2540 |
| 1114900354 | MRS. GWENDOLYN DALY ROARKE CRNA Individual | Nurse Anesthetist, Certified Registered | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-3069 |
| 1346223484 | RODOLFO M PASCUAL MD Individual | Internal Medicine (Pulmonary Disease) | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1376526400 | JILL M OHAR MD Individual | Internal Medicine (Pulmonary Disease) | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1235112376 | WENDY COLLEEN MOORE MD Individual | Internal Medicine (Pulmonary Disease) | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295715951, enumerated in the NPI registry as an "individual" on January 19, 2006
The provider is located at Medical Center Blvd Winston Salem, Nc 27157 and the phone number is (336) 716-2255
The provider's speciality is Pediatrics with taxonomy code 2080N0001X with a focus in Neonatal-Perinatal Medicine
The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on January 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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