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PETRIFIED FOREST MEDICAL CENTER. INC.
NPI 1821289968
Internal Medicine in Holbrook, AZ

Active since August 05, 2007
500 E IOWA ST, HOLBROOK, AZ 86025(928) 524-3913 Get Directions Write a Review

NPPES record last updated: December 17, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Petrified Forest Medical Center. Inc. NPPES

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

PETRIFIED FOREST MEDICAL CENTER. INC. (NPI 1821289968), doing business as Petrified Forest Medical Center, is a healthcare organization registered as an internal medicine in Holbrook, Arizona and active in the NPI registry since August 2007. The organization lists Andrew L Maestas, Owner, as its authorized official.

NPPES Registry Identity

NPI1821289968
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePETRIFIED FOREST MEDICAL CENTER. INC.
Location Address500 E IOWA STHolbrook, AZ 86025-2750
Mailing Address500 E Iowa StHolbrook, AZ 86025-2750 · (928) 524-3913
Phone(928) 524-3913
Organization SubpartNo
Authorized OfficialAndrew L MaestasOwner · (928) 524-3913
Enumeration DateAugust 5, 2007
Last NPPES UpdateDecember 17, 2012
✔ NPI 1821289968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AZ · 21878
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
500 E IOWA ST, Holbrook, AZ 86025
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Other Names 1

Former Legal Business NamePetrified Forest Medical Center

Other Identifiers 2

Medicaid149585AZ
Medicare UPIND21347AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Petrified Forest Medical Center. Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Petrified Forest Medical Center. Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Andrew Maestas, MD
Internal Medicine
NPI 1659563773
500 E IOWA ST
Holbrook, AZ 86025
(928) 524-3913
✔ PECOS✔ Accepts Medicare0.7 mi

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

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 Petrified Forest Medical Center. Inc.'s NPI number?

The NPI number for Petrified Forest Medical Center. Inc. is 1821289968. It was assigned to this organization in the NPPES registry on August 5, 2007. The provider was formerly known as Petrified Forest Medical Center.

Where is Petrified Forest Medical Center. Inc. located?

Petrified Forest Medical Center. Inc. is located at 500 E Iowa St, Holbrook, AZ 86025. The listed phone number is (928) 524-3913.

What is Petrified Forest Medical Center. Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Petrified Forest Medical Center. Inc. enrolled in Medicare?

Yes. Petrified Forest Medical Center. Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Petrified Forest Medical Center. Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Petrified Forest Medical Center. Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Petrified Forest Medical Center. Inc. was last updated on December 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.