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DR. DMITRIY PETROV M.D.
NPI 1699126458
Student in an Organized Health Care Education/Training Program in Ypsilanti, MI

Active since June 23, 2016PECOS Enrolled
5333 MCAULEY DRIVE, SUITE 4001, YPSILANTI, MI 48197(734) 712-3980 Get Directions Write a Review

NPPES record last updated: June 23, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Dmitriy Petrov M.d. NPPES

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

DR. DMITRIY PETROV M.D. (NPI 1699126458) is an individual student in an organized health care education/training program in Ypsilanti, Michigan and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699126458
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. DMITRIY PETROVCredential: M.D.
Location Address5333 MCAULEY DRIVE, SUITE 4001Ypsilanti, MI 48197-8633
Mailing Address2345 Woodridge Way, Unit 2439 Apt 1aYpsilanti, MI 48197-1404
Phone(734) 712-3980
Sole ProprietorYes
Enumeration DateJune 23, 2016
✔ NPI 1699126458 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.
5333 MCAULEY DRIVE, Ypsilanti, MI 48197
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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. Dmitriy Petrov 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.

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.

RACHNA SAHASRABUDHE DO
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DRIVE, SUITE 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
PAUL ALAN BERKOWITZ M.D.
Internal Medicine (Nephrology)
5333 MCAULEY DRIVE, SUITE 4003
YPSILANTI, MI 48197
Washtenaw County (734) 712-3470
MORGAN LEE HODGES PA
Physician Assistant
5333 MCAULEY DRIVE, SUITE 2115
YPSILANTI, MI 48197
Washtenaw County (734) 712-3971
DR. DAVID PAUL STEINBERG M.D.
Physical Medicine & Rehabilitation (Pain Medicine)
5333 MCAULEY DRIVE, SUITE 2009
YPSILANTI, MI 48197
Washtenaw County (734) 712-0050
DR. MISHA AFTAB KHAN M.D.
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DRIVE, SUITE 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
LILIAN D BRIGGS MD
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DRIVE, SUITE 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
MRS. PETRA BOONSTRA
Audiologist
5333 MCAULEY DRIVE, SUITE 2016
YPSILANTI, MI 48197
Washtenaw County (734) 434-3200
ARI KRISWARI MD
Physical Medicine & Rehabilitation
5333 MCAULEY DRIVE, SUITE 2009
YPSILANTI, MI 48197
Washtenaw County (734) 712-0050

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 Dmitriy Petrov's NPI number?

The NPI number for Dmitriy Petrov is 1699126458. It was assigned to this individual provider in the NPPES registry on June 23, 2016.

Where is Dmitriy Petrov located?

Dmitriy Petrov practices at 5333 Mcauley Drive Suite 4001, Ypsilanti, MI 48197. The listed phone number is (734) 712-3980.

What is Dmitriy Petrov's specialty?

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

Is Dmitriy Petrov enrolled in Medicare?

Yes. Dmitriy Petrov is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dmitriy Petrov was last updated on June 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.