DR. PAVEL STOYANOV PETKOV M.D.
NPI 1194910570
Obstetrics & Gynecology in Phoenix, AZ

Q: What is Pavel Petkov's NPI number?

The NPI number for Pavel Petkov is 1194910570. It was assigned to this individual provider in the NPPES registry on September 10, 2007.

Q: What is Pavel Petkov's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Pavel Petkov was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since September 10, 2007PECOS EnrolledAccepts Medicare Assignment

4212 N 16TH ST, PHOENIX, AZ 85016(602) 263-1200(602) 263-1619 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 10, 2025, Dec 8, 2021, Oct 1, 2019 (3 updates tracked since 2019).

On this page

About Dr. Pavel Stoyanov Petkov M.d. NPPES

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

DR. PAVEL STOYANOV PETKOV M.D. (NPI 1194910570) is an individual obstetrics & gynecology provider in Phoenix, Arizona, licensed in Arizona (45220) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1194910570

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. PAVEL STOYANOV PETKOVCredential: M.D.

Location Address4212 N 16TH STPhoenix, AZ 85016-5319

Mailing AddressPo Box 95460Cleveland, OH 44101-0033 · (602) 581-6076 · Fax (602) 263-1619

Phone(602) 263-1200

Fax(602) 263-1619

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateSeptember 10, 2007

Last NPPES UpdateNovember 10, 20253 updates tracked since enumeration

NPPES CertifiedNovember 10, 2025

✔ NPI 1194910570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in AZ · 45220✔ Licensed in WI · 53240-020

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

4212 N 16TH ST, Phoenix, AZ 85016

Open in Google Maps ↗

Secondary Practice Locations 3

Location 11705 W Main StMesa, AZ 85201-6920 · Phone (877) 809-5092 ext. 3316

Location 21864 E Florence Blvd Ste 2Casa Grande, AZ 85122 · Phone (520) 381-0380 · Fax (520) 836-1826

Location 344765 W. Hathaway Ave.Maricopa, AZ 85138 · Phone (520) 788-6100 · Fax (520) 788-6140

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Pavel Stoyanov Petkov M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012060924

PECOS Enrollment IDI20251112000927

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

WENDY RAZO

Registered Nurse (Obstetric, High-Risk)