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ANDREY PETRIKOVETS MD A PROFESSIONAL CORPORATION
NPI 1013497213
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Los Angeles, CA

Active since August 16, 2018
3312 GLENDALE BLVD, LOS ANGELES, CA 90039(888) 487-6496(323) 250-1361 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 4, 2023, Aug 16, 2018 (2 updates tracked since 2018).

About Andrey Petrikovets Md A Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREY PETRIKOVETS MD A PROFESSIONAL CORPORATION (NPI 1013497213) is a healthcare organization registered as an urogynecology and reconstructive pelvic surgery in Los Angeles, California and active in the NPI registry since August 2018. The organization maintains a secondary practice location in Los Angeles and lists Andrey Petrikovets, Owner, as its authorized official.

NPPES Registry Identity

NPI1013497213
Entity TypeOrganization
Primary Taxonomy207VF0040X
Legal Business NameANDREY PETRIKOVETS MD A PROFESSIONAL CORPORATION
Location Address3312 GLENDALE BLVDLos Angeles, CA 90039-1813
Mailing AddressPo Box 39466Los Angeles, CA 90039-0466 · (888) 487-6496 · Fax (323) 250-1361
Phone(888) 487-6496
Fax(323) 250-1361
Organization SubpartNo
Authorized OfficialAndrey PetrikovetsOwner · (888) 487-6496
Enumeration DateAugust 16, 2018
Last NPPES UpdateDecember 4, 20232 updates tracked since enumeration
NPPES CertifiedDecember 4, 2023
✔ NPI 1013497213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
License✔ Licensed in CA · A127810
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
3312 GLENDALE BLVD, Los Angeles, CA 90039
Open in Google Maps ↗

Secondary Practice Location 1

Location 11513 S Grand Ave Ste 400Los Angeles, CA 90015-3075 · Phone (213) 742-6400

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrey Petrikovets Md A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Andrey Petrikovets MD A Professional Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Andrey Petrikovets, M.D.
Obstetrics/Gynecology
NPI 1922307123
3312 GLENDALE BLVD
Los Angeles, CA 90039
(888) 487-6496
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrey Petrikovets MD A Professional Corporation's NPI number?

The NPI number for Andrey Petrikovets MD A Professional Corporation is 1013497213. It was assigned to this organization in the NPPES registry on August 16, 2018.

Where is Andrey Petrikovets MD A Professional Corporation located?

Andrey Petrikovets MD A Professional Corporation is located at 3312 Glendale Blvd, Los Angeles, CA 90039. The listed phone number is (888) 487-6496.

What is Andrey Petrikovets MD A Professional Corporation's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Andrey Petrikovets MD A Professional Corporation enrolled in Medicare?

Yes. Andrey Petrikovets MD A Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Andrey Petrikovets MD A Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Andrey Petrikovets MD A Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Andrey Petrikovets MD A Professional Corporation was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.