Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Richard A Peloquin, PA-C

Individual provider Medical Physician Assistant · NPI 1164464772

Richard A Peloquin, PA-C is a Physician Assistant in Providence, Rhode Island. Qualified in 1986, 40 years ago. Accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
40
Licensed in
RI
In the registry since
2006
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

100 Butler Dr
Providence, RI 02906-4862
Phone: (401) 277-0790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA00096 (RI)

Record details

NPI number1164464772
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 11, 2006
Last updated in NPPESJuly 19, 2024
Certification dateJuly 19, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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