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

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: October 25, 2026.

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

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 Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Pavel Petkov reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
Same address
Public Health or Welfare
4212 N 16TH ST
Phoenix, AZ 85016
  • Reassigned Medicare billing, Texas enrollment
  • 599 clinicians in this Medicare group
NPI 1083643738 (602) 263-1200
District Medical Group, Inc
3.0 mi
Surgery
2525 E ROOSEVELT ST, MED CLINIC - INFECTIOUS DISEASE
Phoenix, AZ 85008
  • Reassigned Medicare billing, Arizona enrollment
  • 1,490 clinicians in this Medicare group
NPI 1174856280 (602) 344-1095
Sun Life Family Health Center, Inc
17 mi
Federally Qualified Health Center (FQHC)
655 S DOBSON RD STE 201
Chandler, AZ 85224
  • Reassigned Medicare billing, Arizona enrollment
  • 80 clinicians in this Medicare group
NPI 1396275459 (520) 836-3446

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
THOMAS RYAN HALL RN
Registered Nurse
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
DR. UMAR IQBAL M.D.
Family Medicine
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
SHARLA LOUISE WYATT RN
Registered Nurse
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
KATELYN WENTWORTH PELTIER PHARMD
Pharmacist
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
LAURA MOLANDER
Pharmacist
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
DR. ADEL M SALAMA M.D.
Internal Medicine
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
ANCITA BIGMAN RN
Registered Nurse
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1511

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 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.

Where is Pavel Petkov located?

Pavel Petkov practices at 4212 N 16th St, Phoenix, AZ 85016. The listed phone number is (602) 263-1200.

What is Pavel Petkov's specialty?

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

Is Pavel Petkov enrolled in Medicare?

Yes. Pavel Petkov is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Pavel Petkov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pavel Petkov reassigns Medicare benefits to 3 organizations: Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm (Phoenix, AZ), District Medical Group, Inc (Phoenix, AZ) and Sun Life Family Health Center, Inc (Chandler, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pavel Petkov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pavel Petkov accept?

Health plans from Blue Cross Blue Shield of Arizona and Imperial Insurance Companies, Inc. list Pavel Petkov as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 11 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.