DR. LAURA ISRAELIAN PETRAS M.D.
NPI 1477797967
Family Medicine in New York, NY

Q: What is Laura Petras's NPI number?

The NPI number for Laura Petras is 1477797967. It was assigned to this individual provider in the NPPES registry on April 28, 2009.

Q: What is Laura Petras's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Laura Petras was last updated on January 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 April 28, 2009PECOS Enrolled

632 BROADWAY PH, NEW YORK, NY 10012(347) 294-3414 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 13, 2023, Apr 14, 2021, Sep 13, 2016 (3 updates tracked since 2016).

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About Dr. Laura Israelian Petras M.d. NPPES

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

DR. LAURA ISRAELIAN PETRAS M.D. (NPI 1477797967) is an individual family medicine provider in New York, New York, licensed in Virginia (0101252016) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1477797967

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. LAURA ISRAELIAN PETRASCredential: M.D.

Location Address632 BROADWAY PHNew York, NY 10012-2614

Mailing Address64 Bleecker St # 151New York, NY 10012-2410 · (347) 294-3414

Phone(347) 294-3414

Sole ProprietorNo

Enumeration DateApril 28, 2009

Last NPPES UpdateJanuary 13, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 13, 2023

✔ NPI 1477797967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in VA · 0101252016✔ Licensed in MA · 261321

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

632 BROADWAY PH, New York, NY 10012

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Secondary Practice Locations 3

Location 11550 Tomcat Blvd, Suite 150Virginia Beach, VA 23460-2218 · Phone (757) 953-3933

Location 22100 Lynnhaven Pkwy Ste 201Virginia Beach, VA 23456-1492 · Phone (757) 953-6708

Location 3620 John Paul Jones CirPortsmouth, VA 23708-2111 · Phone (757) 953-5000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Laura Israelian Petras M.d. 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 10012 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

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.

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.

ESTHER SANTANA BAZIL RN

Registered Nurse