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ANNA M PETROV DPM NPI 1407837040


NPI Information

NPI: 1407837040
Provider Name: ANNA M PETROV, DPM
Classification: Podiatrist - 213ES0131X
Entity Type: Individual

Specialization: Foot Surgery

PECOS Registration: Yes

Address:
4108 N SHERIDAN RD
CHICAGO, IL
ZIP 60613
Phone: (773) 244-6517
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Anna M Petrov, DPM is a foot surgery podiatrist in Chicago, IL with 26 years of experience. Anna M Petrov, DPM NPI is 1407837040. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduation Year:1998

The provider's business location address is:

4108 N SHERIDAN RD
CHICAGO, IL
ZIP 60613-007
Phone: (773) 244-6517
Fax: (773) 244-6531

The NPI 1407837040 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of 2 to 4 thickened skin growths (HCPCS:11056)
  • Removal of tissue from 1 to 5 finger or toe nails (HCPCS:11720)
  • Removal of single thickened skin growth (HCPCS:11055)
  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • Removal of tissue from wounds per session (HCPCS:97597)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)

The enumeration date for this NPI number is 11/10/2005 and was last updated on 5/13/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist016004935ILLINOISNo
2213ES0131XPodiatristFoot Surgery016004935ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11626058OTHERBC/BS
2016004935MEDICAIDILLINOIS
3U77054MEDICARE UPIN
4556980MEDICARE ID-TYPE UNSPECIFIED
5214267MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.