DR. ROBERT J PETROKUBI M.D. NPI 1669428439

NPI Information

  • NPI: 1669428439
  • Provider Name: DR. ROBERT J PETROKUBI, M.D.
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • Address: 12500 MAYO CT
    PROSPECT, KY
    ZIP 40059
  • Phone: (502) 228-2793

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NPI Details

DR. Robert J Petrokubi, M.D. is a gastroenterology internal medicine in Prospect, KY. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DR. Robert J Petrokubi, M.D. NPI is 1669428439. 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:

12500 MAYO CT
PROSPECT, KY
ZIP 40059-159
Phone: (502) 228-2793
Fax: (502) 228-2793

The enumeration date for this NPI number is 5/25/2006 and was last updated on 4/8/2014.

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
1207RG0100XInternal MedicineGastroenterology30771KENTUCKYYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100546179MEDICARE OSCAR/CERTIFICATIONKENTUCKY
2110191025MEDICARE PINKENTUCKY
364307713MEDICAIDKENTUCKY
4D57432MEDICARE UPINKENTUCKY

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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