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KONSTANTIN PETROV
NPI 1316822158
Nurse Practitioner - Psychiatric/Mental Health in Brooklyn, NY

Active since August 11, 2025PECOS Enrolled
1348 TROY AVE APT 3, BROOKLYN, NY 11203(646) 706-3093 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Konstantin Petrov NPPES

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

KONSTANTIN PETROV (NPI 1316822158) is an individual psychiatric/mental health provider in Brooklyn, New York, licensed in New York (F407367) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1316822158
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameKONSTANTIN PETROV
Location Address1348 TROY AVE APT 3Brooklyn, NY 11203-5733
Mailing Address1348 Troy Ave Apt 3Brooklyn, NY 11203-5733 · (646) 706-3093
Phone(646) 706-3093
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 11, 2025
NPPES CertifiedAugust 10, 2025
✔ NPI 1316822158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · F407367
1348 TROY AVE APT 3, Brooklyn, NY 11203
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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)

Konstantin Petrov is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709370406
PECOS Enrollment IDI20251210002357
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 11203 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Konstantin Petrov's NPI number?

The NPI number for Konstantin Petrov is 1316822158. It was assigned to this individual provider in the NPPES registry on August 11, 2025.

Where is Konstantin Petrov located?

Konstantin Petrov practices at 1348 Troy Ave Apt 3, Brooklyn, NY 11203. The listed phone number is (646) 706-3093.

What is Konstantin Petrov's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Konstantin Petrov enrolled in Medicare?

Yes. Konstantin Petrov is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Konstantin Petrov was last updated on August 11, 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.