EKATERINA NIKOLAEVNA PETROVA MD
NPI 1265750129
Pediatrics in Modesto, CA

Q: What is Ekaterina Petrova's NPI number?

The NPI number for Ekaterina Petrova is 1265750129. It was assigned to this individual provider in the NPPES registry on May 17, 2010.

Q: What is Ekaterina Petrova's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Ekaterina Petrova was last updated on March 9, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 17, 2010PECOS Enrolled

1510 FLORIDA AVE, MODESTO, CA 95350(209) 549-7090(209) 549-7099 Get Directions Write a Review

NPPES record last updated: March 9, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ekaterina Nikolaevna Petrova Md NPPES

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

EKATERINA NIKOLAEVNA PETROVA MD (NPI 1265750129) is an individual pediatrics provider in Modesto, California, licensed in California (A127080) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265750129

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameEKATERINA NIKOLAEVNA PETROVACredential: MD

Location Address1510 FLORIDA AVEModesto, CA 95350-4437

Mailing Address737 W Childs AveMerced, CA 95341-6805 · (209) 384-6493 · Fax (209) 383-1296

Phone(209) 549-7090

Fax(209) 549-7099

Sole ProprietorNo

Enumeration DateMay 17, 2010

Last NPPES UpdateMarch 9, 2017

✔ NPI 1265750129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in CA · A127080✔ Licensed in VT · 042-0011975

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1510 FLORIDA AVE, Modesto, CA 95350

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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)

Ekaterina Nikolaevna Petrova Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95350 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

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