DR. RICHARD A PETRAK M.D. NPI 1891708608

NPI Information

  • NPI: 1891708608
  • Provider Name: DR. RICHARD A PETRAK, M.D.
  • Classification: Internal Medicine - 207RP1001X
  • Specialization: Pulmonary Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3231 EUCLID AVE
    SUITE 405
    BERWYN, IL
    ZIP 60402
  • Phone: (708) 783-2644

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NPI Details

DR. Richard A Petrak, M.D. is a pulmonary disease internal medicine in Berwyn, IL with 41 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. DR. Richard A Petrak, M.D. NPI is 1891708608. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduation Year:1984

The provider's business location address is:

3231 EUCLID AVE
SUITE 405
BERWYN, IL
ZIP 60402-471
Phone: (708) 783-2644
Fax: (708) 783-3973

The NPI 1891708608 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.

  • Follow-up inpatient or observation ventilation assistance and management (HCPCS:94003)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)

The enumeration date for this NPI number is 8/14/2006 and was last updated on 3/1/2011.

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
1207RC0200XInternal MedicineCritical Care Medicine036072033ILLINOISNo
2207RP1001XInternal MedicinePulmonary Disease036072033ILLINOISYes

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
1E18723MEDICARE UPINILLINOIS
2L60733MEDICARE PINILLINOIS
3036072033MEDICAIDILLINOIS
436072033OTHERILLINOISSTATE OF ILLINOIS LICENSE
5P00062672OTHERILLINOISRAILROAD MEDICARE PIN
6L92246MEDICARE 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: 3/30/2025

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