DR. MARINA PETSALIS MD
NPI 1538798293
Student in an Organized Health Care Education/Training Program in Houston, TX

Q: What is Marina Petsalis's NPI number?

The NPI number for Marina Petsalis is 1538798293. It was assigned to this individual provider in the NPPES registry on April 5, 2020.

Q: What is Marina Petsalis'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 Marina Petsalis was last updated on April 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 05, 2020PECOS Enrolled

6410 FANNIN ST STE 1400, HOUSTON, TX 77030(832) 325-7125 Get Directions Write a Review

NPPES record last updated: April 5, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Marina Petsalis Md NPPES

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

DR. MARINA PETSALIS MD (NPI 1538798293) is an individual student in an organized health care education/training program in Houston, Texas and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538798293

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. MARINA PETSALISCredential: MD

Location Address6410 FANNIN ST STE 1400Houston, TX 77030-5389

Mailing Address6410 Fannin St Ste 1400Houston, TX 77030-5389

Phone(832) 325-7125

Sole ProprietorNo

Enumeration DateApril 5, 2020

NPPES CertifiedApril 5, 2020

✔ NPI 1538798293 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.

6410 FANNIN ST STE 1400, Houston, TX 77030

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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)

Dr. Marina Petsalis 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.

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.

JASMINE MIAO PENG MD

Student in an Organized Health Care Education/Training Program