MICHAEL ALLEN PETRELLI DO - NPI 1184264780 - Student in an Organized Health Care Education/Training Program in Bethesda, MD

Q: What is Michael Petrelli's NPI number?

The NPI number for Michael Petrelli is 1184264780. It was assigned to this individual provider in the NPPES registry on January 10, 2020.

Q: What is Michael Petrelli's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Petrelli was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.

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About Michael Allen Petrelli Do NPPES

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

MICHAEL ALLEN PETRELLI DO (NPI 1184264780) is an individual student in an organized health care education/training program in Bethesda, Maryland, licensed in California (22738) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1184264780

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMICHAEL ALLEN PETRELLICredential: DO

Location Address4301 JONES BRIDGE RDBethesda, MD 20814-4712

Mailing Address1 Dispensary RoadPoint Mugu Nawc, CA 93042-5017 · (805) 989-7213

Phone(301) 295-3718

Sole ProprietorNo

Enumeration DateJanuary 10, 2020

Last NPPES UpdateJuly 27, 20266 updates tracked since enumeration

NPPES CertifiedJuly 27, 2026

✔ NPI 1184264780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in CA · 22738

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.

Also ListedPreventive Medicine · Aerospace MedicineTaxonomy 2083A0100X · License 22738 (CA)

Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X · License 22738 (CA)

Also ListedGeneral PracticeTaxonomy 208D00000X · License 009132 (AZ), 22738 (CA)

4301 JONES BRIDGE RD, Bethesda, MD 20814

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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.

GAYLE DENISE HAISCHER-ROLLO MD

Pediatrics (Neonatal-Perinatal Medicine)