Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Peter Basilios, PA-C

Individual provider Surgical Physician Assistant · NPI 1174083794

Peter Basilios, PA-C is a Physician Assistant in Fall River, Massachusetts. Qualified in 2019, 7 years ago. Practices with Lifespan Physician Group of Massachusetts Inc, a 457-clinician group and works from 3 locations. Licensed in Massachusetts and Rhode Island.

Years since qualifying
7
Licensed in
MA, RI
In the registry since
2019
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

795 Middle St
Fall River, MA 02721-1733
Phone: (508) 674-5600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 277 Pleasant St Ste 101, Fall River, MA 02721-3005 — (508) 672-0545
  • 120 Centerville Rd, Warwick, RI 02886-4336 — (401) 738-3730

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA8369 (MA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA01112 (RI)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA01112 (RI)

Record details

NPI number1174083794
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 20, 2019
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026
Mailing address277 Pleasant St Ste 101, Fall River, MA 02721-3005

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Lifespan Physician Group Of Massachusetts Inc — 457 clinicians
Accepts Medicare assignment Not indicated

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