DR. EDWARD WAYNE PETRIK M.D.
NPI 1093007825
Anesthesiology in Round Rock, TX

Active since May 12, 2011Opted out of Medicare · through Nov 27, 2027
3004 LIVE OAK ST, ROUND ROCK, TX 78681(737) 293-0000 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jan 13, 2022, Jan 6, 2021, Sep 26, 2016 (3 updates tracked since 2016).

About Dr. Edward Wayne Petrik M.d. NPPES

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

DR. EDWARD WAYNE PETRIK M.D. (NPI 1093007825) is an individual anesthesiology provider in Round Rock, Texas, licensed in Texas (P4098) and active in the NPI registry since May 2011. He has opted out of Medicare through November 27, 2027 and remains eligible to order and refer and maintains a secondary practice location in Cedar Park.

NPPES Registry Identity

NPI1093007825
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. EDWARD WAYNE PETRIKCredential: M.D.
Location Address3004 LIVE OAK STRound Rock, TX 78681-1238
Mailing Address3004 Live Oak StRound Rock, TX 78681-1238 · (737) 293-0000
Sole ProprietorYes
Enumeration DateMay 12, 2011
Last NPPES UpdateJanuary 13, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2022
NPI 1093007825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License Licensed in TX · P4098
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedAnesthesiology · Critical Care MedicineTaxonomy 207LC0200X · License P4098 (TX)
Also ListedPreventive Medicine · Aerospace MedicineTaxonomy 2083A0100X · License P4098 (TX)
Also ListedGeneral PracticeTaxonomy 208D00000X · License P4098 (TX)
3004 LIVE OAK ST, Round Rock, TX 78681

Secondary Practice Location 1

Location 11841 S Lakeline Blvd Ste 106Cedar Park, TX 78613-4666 · Phone (737) 293-0000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Edward Wayne Petrik M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 27, 2025 through November 27, 2027.

Opt-Out Effective DateNovember 27, 2025
Opt-Out In Effect ThroughNovember 27, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Edward Petrik's NPI number?

The NPI number for Edward Petrik is 1093007825. It was assigned to this individual provider in the NPPES registry on May 12, 2011.

Where is Edward Petrik located?

Edward Petrik practices at 3004 Live Oak St, Round Rock, TX 78681. The listed phone number is (737) 293-0000.

What is Edward Petrik's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Edward Petrik enrolled in Medicare?

No. Edward Petrik has opted out of Medicare through November 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Edward Petrik was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.