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ROBERT T. PETRUZZO DO NPI 1578615936


NPI Information

NPI: 1578615936
Provider Name: ROBERT T. PETRUZZO, DO
Classification: Radiology - 2085B0100X
Entity Type: Individual

Specialization: Body Imaging

Organization: APEX RADIOLOGY MEDICAL GROUP INC

PECOS Registration: Yes

Address:
4405 VANDEVER AVE
SAN DIEGO, CA
ZIP 92120
Phone: (619) 528-5000
Get Directions

Robert T. Petruzzo, DO is a body imaging radiology in San Diego, CA with 49 years of experience. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. Robert T. Petruzzo, DO NPI is 1578615936. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4405 VANDEVER AVE
SAN DIEGO, CA
ZIP 92120-315
Phone: (619) 528-5000

The NPI 1578615936 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.

  • X-ray of chest, 1 view, front (HCPCS:71010)
  • CT scan of abdomen and pelvis (HCPCS:74176)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • X-ray of abdomen, single view (HCPCS:74000)
  • X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • CT scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
  • Nuclear medicine study of lung ventilation and blood circulation in the lungs (HCPCS:78582)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)

The enumeration date for this NPI number is 1/17/2007 and was last updated on 4/28/2008.


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
12085B0100XRadiologyBody Imaging20A4255CALIFORNIAYes

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
1C64495MEDICARE UPIN
200AX42550MEDICAIDCALIFORNIA

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: 11/14/2023

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