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KEITH MICHAEL PETRAS M.D.
NPI 1215997770
Internal Medicine - Nephrology in Middleburg Heights, OH

Active since March 27, 2006PECOS EnrolledAccepts Medicare Assignment
7225 OLD OAK BLVD, STE B313, MIDDLEBURG HEIGHTS, OH 44130(440) 243-0574(440) 243-0582 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 27, 2026, Apr 17, 2026 (2 updates tracked since 2026).

About Keith Michael Petras M.d. NPPES

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

KEITH MICHAEL PETRAS M.D. (NPI 1215997770) is an individual nephrology provider in Middleburg Heights, Ohio, licensed in Ohio (35-080986P) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Parma Community General Hospital, and is a graduate of Pennsylvania State University College Of Medicine (1999).

NPPES Registry Identity

NPI1215997770
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameKEITH MICHAEL PETRASCredential: M.D.
Location Address7225 OLD OAK BLVD, STE B313Middleburg Heights, OH 44130-3339
Mailing Address805 Columbia Rd Ste 109Westlake, OH 44145-1461 · (440) 799-4224 · Fax (440) 799-4228
Phone(440) 243-0574
Fax(440) 243-0582
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 1999
Enumeration DateMarch 27, 2006
Last NPPES UpdateApril 27, 20262 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
✔ NPI 1215997770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in OH · 35-080986P
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
7225 OLD OAK BLVD, Middleburg Heights, OH 44130
Open in Google Maps ↗

Other Identifiers 1

Medicaid2579642OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Keith Michael Petras 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 ID3173550308
PECOS Enrollment IDI20050720000161
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
414 services163 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
282 services207 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
193 services81 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
104 services94 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
84 services83 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
79 services65 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Parma Community General Hospital

Acute Care Hospitals · Parma, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360041
Location7007 Powers BoulevardParma, OH 44129 · Cuyahoga County

Medina Hospital

Acute Care Hospitals · Medina, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360091
Location1000 East Washington StreetMedina, OH 44256 · Medina County
Emergency services

Southwest General Health Center

Acute Care Hospitals · Middleburg Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360155
Location18697 Bagley RoadMiddleburg Heights, OH 44130 · Cuyahoga County
Emergency services Birthing friendly

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44130 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%552 patients5/55-star benchmark: 100%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
100%53 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,211 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%418 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%116 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
99%297 patients5/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%764 patients5/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
99%359 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
77%297 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
37%297 patients3/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

JENNIFER ANNE FROST CNP
Nurse Practitioner (Adult Health)
7225 OLD OAK BLVD, SUITE A210
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 816-2761
EDWINA E SIMMONS MD
Obstetrics & Gynecology
7225 OLD OAK BLVD, SUITE B311
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 895-5056
CHARLES C SHIN MD INC
Orthopaedic Surgery
7225 OLD OAK BLVD, SUITE B312
MIDDLEBURG HTS, OH 44130
Cuyahoga County (440) 816-2730
DR. JANEEN M DRAZDIK M.D.
Family Medicine
7225 OLD OAK BLVD, SUITE 210A
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 816-2761
LAWRENCE KASS M.D.
Pathology (Hematology)
7225 OLD OAK BLVD, 317B
CLEVELAND, OH 44130
Cuyahoga County (440) 816-2724
RAJANI V VALLABHANENI M.D.
Family Medicine
7225 OLD OAK BLVD
CLEVELAND, OH 44130
Cuyahoga County (440) 816-2761
GHASSAN A ABDALLAH M.D.
Family Medicine
7225 OLD OAK BLVD, SUITE 210A
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 816-2761
VASCULAR CONSULTANTS INC
Radiologic Technologist (Vascular Sonography)
7225 OLD OAK BLVD, STE B306
CLEVELAND, OH 44130
Cuyahoga County (440) 816-5783

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 Keith Petras's NPI number?

The NPI number for Keith Petras is 1215997770. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is Keith Petras located?

Keith Petras practices at 7225 Old Oak Blvd Ste B313, Middleburg Heights, OH 44130. The listed phone number is (440) 243-0574.

What is Keith Petras's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Keith Petras enrolled in Medicare?

Yes. Keith Petras 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.

What insurance does Keith Petras accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 5 other insurers list Keith Petras 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.

Is Keith Petras affiliated with any hospitals?

According to CMS data, Keith Petras is affiliated with Parma Community General Hospital, Medina Hospital, Southwest General Health Center and Cleveland Clinic.

When was this NPI record last updated?

The NPPES record for Keith Petras was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.