MICHAEL PETRY NPI 1003270422

NPI Information

  • NPI: 1003270422
  • Provider Name: MICHAEL PETRY
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6411 VETERANS MEMORIAL PKWY
    CRESTWOOD, KY
    ZIP 40014
  • Phone: (502) 241-8611

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NPI Details

Michael Petry is a family medicine in Crestwood, KY with 10 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Michael Petry NPI is 1003270422. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

6411 VETERANS MEMORIAL PKWY
CRESTWOOD, KY
ZIP 40014-698
Phone: (502) 241-8611
Fax: (502) 241-4175

The NPI 1003270422 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), Power Mobility Devices.

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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Automated urinalysis test (HCPCS:81003)
  • Testing for presence of drug, read by direct observation (HCPCS:80305)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b (HCPCS:87636)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • Fee covid-19 vac 13 res (HCPCS:0124A)

The enumeration date for this NPI number is 4/12/2016 and was last updated on 12/8/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2207Q00000XFamily MedicineR4220KENTUCKYYes

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: 11/21/2025

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