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BENJAMIN PAUL PETRINEC
NPI 1174101729
Student in an Organized Health Care Education/Training Program in Mesquite, TX

Active since April 01, 2021PECOS Enrolled
1650 REPUBLIC PKWY STE 130, MESQUITE, TX 75150(214) 692-8262 Get Directions Write a Review

NPPES record last updated: June 14, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Benjamin Paul Petrinec NPPES

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

BENJAMIN PAUL PETRINEC (NPI 1174101729) is an individual student in an organized health care education/training program in Mesquite, Texas and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174101729
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBENJAMIN PAUL PETRINEC
Location Address1650 REPUBLIC PKWY STE 130Mesquite, TX 75150-6920
Mailing Address1650 Republic Pkwy Ste 130Mesquite, TX 75150-6920
Phone(214) 692-8262
Sole ProprietorYes
Enumeration DateApril 1, 2021
Last NPPES UpdateJune 14, 2026
NPPES CertifiedJune 14, 2026
✔ NPI 1174101729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1650 REPUBLIC PKWY STE 130, Mesquite, TX 75150
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin Paul Petrinec 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.

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 Benjamin Petrinec's NPI number?

The NPI number for Benjamin Petrinec is 1174101729. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Where is Benjamin Petrinec located?

Benjamin Petrinec practices at 1650 Republic Pkwy Ste 130, Mesquite, TX 75150. The listed phone number is (214) 692-8262.

What is Benjamin Petrinec's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Benjamin Petrinec enrolled in Medicare?

Yes. Benjamin Petrinec is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Benjamin Petrinec was last updated on June 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.