KELLI A PETRONIS M.D.
NPI 1083661151
Pediatrics - Pediatric Emergency Medicine in Norfolk, VA

Q: What is Kelli Petronis's NPI number?

The NPI number for Kelli Petronis is 1083661151. It was assigned to this individual provider in the NPPES registry on May 27, 2006. The provider is also known as Kelli A Maiers M.D..

Q: What is Kelli Petronis's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Kelli Petronis was last updated on June 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 27, 2006PECOS Enrolled

601 CHILDRENS LN, NORFOLK, VA 23507(757) 668-9222(757) 668-7568 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kelli A Petronis M.d. NPPES

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

KELLI A PETRONIS M.D. (NPI 1083661151) is an individual pediatric emergency medicine provider in Norfolk, Virginia, licensed in Virginia (0101233589) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083661151

Entity TypeIndividualFemale

Primary Taxonomy2080P0204X

Provider Legal NameKELLI A PETRONISCredential: M.D.

Location Address601 CHILDRENS LNNorfolk, VA 23507-1910

Mailing Address601 Childrens LnNorfolk, VA 23507-1971 · (757) 668-9222

Phone(757) 668-9222

Fax(757) 668-7568

Sole ProprietorNo

Enumeration DateMay 27, 2006

Last NPPES UpdateJune 28, 2023

NPPES CertifiedJune 28, 2023

✔ NPI 1083661151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in VA · 0101233589

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedAnesthesiologyTaxonomy 207L00000X · License 0101233589 (VA)

Also ListedEmergency Medicine · Pediatric Emergency MedicineTaxonomy 207PP0204X · License 0101233589 (VA)

Also ListedPediatricsTaxonomy 208000000X · License 0101233589 (VA)

601 CHILDRENS LN, Norfolk, VA 23507

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Other Names 1

Former Name (1)Kelli A Maiers M.d.

Other Identifiers 4

Medicaid006739105VA

Medicaid1010661080001PA

Medicaid89066C4NC

Medicaid403654900MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelli A Petronis M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BELINDA JAMES-PETERSEN CPNP

Nurse Practitioner (Pediatrics)