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ULIANA PETROVA
NPI 1669142402
Nurse Practitioner - Pediatrics in Smithtown, NY

Active since September 14, 2021PECOS Enrolled
8 ALBERTA CT, SMITHTOWN, NY 11787(631) 599-1765 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Uliana Petrova NPPES

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

ULIANA PETROVA (NPI 1669142402) is an individual pediatrics provider in Smithtown, New York, licensed in New York (F383292) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669142402
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameULIANA PETROVA
Location Address8 ALBERTA CTSmithtown, NY 11787-4709
Mailing Address8 Alberta CtSmithtown, NY 11787-4709 · (631) 599-1765
Phone(631) 599-1765
Sole ProprietorNo
Enumeration DateSeptember 14, 2021
NPPES CertifiedSeptember 14, 2021
✔ NPI 1669142402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · F383292
8 ALBERTA CT, Smithtown, NY 11787
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Uliana Petrova 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Uliana Petrova reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Shore Lij, Urgent Care, P.C.
27 mi
Urgent Care
243 MERRICK RD
Rockville Centre, NY 11570
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: North Shore Lij Urgent Care PC
  • 210 clinicians in this Medicare group
NPI 1679970891 (516) 537-9063
North Shore-Lij Medical PC
27 mi
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1053688572 (516) 321-7400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11787 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 Uliana Petrova's NPI number?

The NPI number for Uliana Petrova is 1669142402. It was assigned to this individual provider in the NPPES registry on September 14, 2021.

Where is Uliana Petrova located?

Uliana Petrova practices at 8 Alberta Ct, Smithtown, NY 11787. The listed phone number is (631) 599-1765.

What is Uliana Petrova's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Uliana Petrova enrolled in Medicare?

Yes. Uliana Petrova is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Uliana Petrova's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Uliana Petrova reassigns Medicare benefits to 2 organizations: North Shore Lij, Urgent Care, P.C. (Rockville Centre, NY) and North Shore-Lij Medical PC (Great Neck, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Uliana Petrova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Uliana Petrova was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.