DR. MICHAEL PAULY PETRICH M.D. NPI 1669664173

NPI Information

  • NPI: 1669664173
  • Provider Name: DR. MICHAEL PAULY PETRICH, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 18101 OAKWOOD BLVD
    DEARBORN, MI
    ZIP 48124
  • Phone: (313) 436-2583

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NPI Details

DR. Michael Pauly Petrich, M.D. is a diagnostic radiology radiology in Dearborn, MI with 21 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Michael Pauly Petrich, M.D. NPI is 1669664173. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

18101 OAKWOOD BLVD
DEARBORN, MI
ZIP 48124-089
Phone: (313) 436-2583
Fax: (313) 436-2809

The NPI 1669664173 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.

  • Screening mammography (HCPCS:77067)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Screening 3d breast mammography (HCPCS:77063)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Complete ultrasound scan of 1 breast (HCPCS:76641)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)

The enumeration date for this NPI number is 8/17/2007 and was last updated on 8/17/2007.

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
12085R0202XRadiologyDiagnostic Radiology4301084289MICHIGANYes

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: 3/30/2025

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