Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANTON PETUHOVSKI MD
NPI 1447149505
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Q: What is Anton Petuhovski's NPI number?

The NPI number for Anton Petuhovski is 1447149505. It was assigned to this individual provider in the NPPES registry on July 1, 2025.

Q: What is Anton Petuhovski's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Anton Petuhovski was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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 July 01, 2025PECOS Enrolled

HSC T18, STONY BROOK, NY 11794(910) 615-4000 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 27, 2026, Jul 1, 2025 (2 updates tracked since 2025).

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About Anton Petuhovski Md NPPES

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

ANTON PETUHOVSKI MD (NPI 1447149505) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447149505

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameANTON PETUHOVSKICredential: MD

Location AddressHSC T18Stony Brook, NY 11794-8181

Mailing AddressHsc Level T18Stony Brook, NY 11794-0001 · (631) 216-8640

Phone(910) 615-4000

Sole ProprietorNo

Enumeration DateJuly 1, 2025

Last NPPES UpdateJuly 27, 20262 updates tracked since enumeration

NPPES CertifiedJuly 27, 2026

✔ NPI 1447149505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

HSC T18, Stony Brook, NY 11794

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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)

Anton Petuhovski 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.

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 Anton Petuhovski's NPI number?

The NPI number for Anton Petuhovski is 1447149505. It was assigned to this individual provider in the NPPES registry on July 1, 2025.

Where is Anton Petuhovski located?

Anton Petuhovski practices at Hsc T18, Stony Brook, NY 11794. The listed phone number is (910) 615-4000.

What is Anton Petuhovski's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Anton Petuhovski enrolled in Medicare?

Yes. Anton Petuhovski is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anton Petuhovski was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.