MICHAEL PETRIDES
NPI 1609221969
Radiology - Nuclear Radiology in Philadelphia, PA

NPI Status: Active since April 25, 2016

Contact Information

3400 SPRUCE STREET
1 SILVERSTEIN, SUITE 130
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-6918
Fax: (215) 662-2664

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  • Individual
  • Male
  • Years of Experience 10
  • Radiology
  • Nuclear Radiology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MICHAEL PETRIDES

This page provides the complete NPI Profile along with additional information for Michael Petrides, a provider established in Philadelphia, Pennsylvania with a medical specialization in Radiology, focusing in nuclear radiology and more than 10 years of experience. He graduated from Medical University Of South Carolina College Of Medicine in 2016. The healthcare provider is registered in the NPI registry with number 1609221969 assigned on April 2016. The practitioner's primary taxonomy code is 2085N0904X with license number MT223806 (PA). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1609221969
Provider Name
MICHAEL PETRIDES
Gender
Male
Entity Type
Individual
Location Address
3400 SPRUCE STREET 1 SILVERSTEIN, SUITE 130 PHILADELPHIA, PA 19104
Location Phone
(215) 662-6918
Location Fax
(215) 662-2664
Mailing Address
3400 SPRUCE STREET 1 SILVERSTEIN, SUITE 130 PHILADELPHIA, PA 19104
Mailing Phone
(215) 662-6918
Mailing Fax
(215) 662-2664
Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year
2016
Is Sole Proprietor?
No
Enumeration Date
04-25-2016
Last Update Date
07-29-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Nuclear Radiology

Taxonomy Code
2085N0904X
Type
Allopathic & Osteopathic Physicians
License No.
MT223806
License State
PA
Taxonomy Description
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze Exp Standardized - PPO
  • Bronze Value - PPO
  • Catastrophic HSA - PPO
  • Gold Standardized - PPO
  • Gold Value - PPO
  • Silver AH - PPO
  • Silver Standardized - PPO
  • Dental Gold - PPO
  • Dental Gold Plus Vision - PPO
  • Dental Pediatric - PPO
  • Dental Platinum - PPO
  • Dental Platinum Plus Vision - PPO
  • Dental Platinum Premium - PPO
  • Dental Platinum Premium Plus Vision - PPO
  • Dental Silver - PPO
  • HA Bronze Exp Standardized - POS
  • HA Bronze National - POS
  • HA Gold Premier National - POS
  • HA Gold Standardized - POS
  • HA Platinum Premier National - POS
  • HA Platinum Standardized - POS
  • HA Silver AH - POS
  • HA Silver Standardized - POS
  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Octave Bronze Exp Standardized - POS
  • Octave Bronze Value - POS
  • Octave Gold Classic National - POS
  • Octave Gold Standardized - POS
  • Octave Silver AH - POS
  • Octave Silver Standardized - POS
  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Michael Petrides is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Michael Petrides is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6406140987

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20220816001938, I20221024002142, I20240521001902

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Ct scan head or brain without contrast

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

This service was performed 12 times for 12 patients

Ct scan of abdomen and pelvis with contrast

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

This service was performed 51 times for 51 patients

Ct scan of abdomen and pelvis without contrast

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

This service was performed 17 times for 17 patients

Ct scan of blood vessels of chest with contrast

A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.

This service was performed 14 times for 14 patients

Ct scan of chest with contrast

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

This service was performed 33 times for 33 patients

Ct scan of chest without contrast

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

This service was performed 44 times for 44 patients

Ct scan of chest without contrast

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

This service was performed 12 times for 12 patients

Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries

Fluorodeoxyglucose F-18 FDG is a radioactive drug used in PET scans. It helps doctors see how your tissues and organs are functioning. The drug is given in a specific dose, up to 45 millicuries, depending on your body size and the type of scan.

This service was performed 18 times for 18 patients

Mri scan of abdomen before and after contrast

An MRI scan of the abdomen before and after contrast provides detailed images of your abdominal organs. Initially, images are taken without a contrast agent. Then, a safe dye is administered, usually via an IV, to highlight certain areas, giving a clearer picture to help diagnose various conditions.

This service was performed 21 times for 21 patients

Nuclear medicine study from skull base to mid-thigh with ct scan

A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.

This service was performed 40 times for 40 patients

Nuclear medicine study from skull base to mid-thigh with ct scan

A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.

This service was performed 33 times for 33 patients

Nuclear medicine study of bone and/or joint whole body

A nuclear medicine study of bone and/or joint whole body involves injecting a small amount of radioactive material into your body. This material travels to your bones and emits energy. A special camera captures this energy, creating images of your bones to help identify any abnormalities.

This service was performed 30 times for 30 patients

Nuclear medicine study of bone taken at different times

A nuclear medicine bone study involves injecting a small amount of radioactive material into your body. This material collects in the bones and is detected by a special camera to create images. These images are taken at different times to track changes and help diagnose bone conditions.

This service was performed 14 times for 14 patients

X-ray of chest, 1 view

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

This service was performed 79 times for 76 patients

X-ray of chest, 2 views

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

This service was performed 22 times for 22 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Michael Petrides is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
SWEDISH EDMONDS HOSPITAL21601 76TH AVENUE WEST
EDMONDS, WA 98026
(425) 640-4000Acute Care Hospitals
OVERLAKE HOSPITAL MEDICAL CENTER1035-116TH AVE NE
BELLEVUE, WA 98004
(425) 688-5000Acute Care Hospitals
OLYMPIC MEDICAL CENTER939 CAROLINE ST
PORT ANGELES, WA 98362
(360) 417-7000Acute Care Hospitals
SWEDISH ISSAQUAH751 NE BLAKELY DR
ISSAQUAH, WA 98029
(425) 313-4000Acute Care Hospitals

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1609221969, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
0
Doubled → 0
Pos 4
9
Unchanged
Pos 5
2
Doubled → 4
Pos 6
2
Unchanged
Pos 7
1
Doubled → 2
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 2 → 4 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 0 + 9 + 4 + 2 + 2 + 9 + 1 + 2 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1609221969.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Adult Health)
3400 SPRUCE STREET, 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Internal Medicine (Cardiovascular Disease)
3400 SPRUCE STREET, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104
Nurse Practitioner (Acute Care)
3400 SPRUCE STREET, 6 SILVERSTEIN
PHILADELPHIA, PA 19104
Physical Medicine & Rehabilitation
3400 SPRUCE STREET, 1 GROUND WHITE BUILDING
PHILADELPHIA, PA 19104
Nuclear Medicine
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Internal Medicine
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Urology
3400 SPRUCE STREET, 9 PENN TOWER
PHILADELPHIA, PA 19104
Emergency Medicine
3400 SPRUCE STREET, GROUND SILVERSTEIN BLDG
PHILADELPHIA, PA 19104
Physical Medicine & Rehabilitation
3400 SPRUCE STREET, 1 GROUND WHITE BLDG
PHILADELPHIA, PA 19104
Surgery
3400 SPRUCE STREET, 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Physical Medicine & Rehabilitation
3400 SPRUCE STREET, 1 GROUND WHITE BLDG
PHILADELPHIA, PA 19104
Obstetrics & Gynecology
3400 SPRUCE STREET, 1 WEST GATES
PHILADELPHIA, PA 19104
Anesthesiology
3400 SPRUCE STREET, 4 DULLES BUILDING
PHILADELPHIA, PA 19104
Anesthesiology
3400 SPRUCE STREET, 4 DULLES
PHILADELPHIA, PA 19104
Anesthesiology
3400 SPRUCE STREET, 4 DULLES BUILDING
PHILADELPHIA, PA 19104
Anesthesiology
3400 SPRUCE STREET, 4 DULLES BUILDING
PHILADELPHIA, PA 19104
Internal Medicine (Hematology)
3400 SPRUCE STREET, 15 PENN TOWER
PHILADELPHIA, PA 19104
Internal Medicine (Medical Oncology)
3400 SPRUCE STREET, 12 PENN TOWER
PHILADELPHIA, PA 19104
Internal Medicine (Medical Oncology)
3400 SPRUCE STREET, 15 PENN TOWER
PHILADELPHIA, PA 19104
Anesthesiology
3400 SPRUCE STREET, 4 DULLES BUILDING
PHILADELPHIA, PA 19104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609221969, enumerated as an "individual" on April 25, 2016.

The provider is located at 3400 SPRUCE STREET 1 SILVERSTEIN, SUITE 130 PHILADELPHIA, PA 19104 and the phone number is (215) 662-6918.

Radiology with taxonomy code 2085N0904X and a focus in Nuclear Radiology.

The provider might be accepting Accepts: Arkansas Blue Cross and Blue Shield, Health. Please consult your insurance carrier or call the provider to verify.

Michael Petrides is affiliated with: SWEDISH EDMONDS HOSPITAL, OVERLAKE HOSPITAL MEDICAL CENTER, OLYMPIC MEDICAL CENTER and SWEDISH ISSAQUAH.