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PETRYCHENKO PAIN MANAGEMENT PA
NPI 1841860442
Anesthesiology - Pain Medicine in Hallandale Beach, FL

Active since June 28, 2021
2100 E HALLANDALE BEACH BLVD STE 210, HALLANDALE BEACH, FL 33009(212) 951-1238(718) 336-5137 Get Directions Write a Review

NPPES record last updated: June 28, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Petrychenko Pain Management Pa NPPES

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

PETRYCHENKO PAIN MANAGEMENT PA (NPI 1841860442) is a healthcare organization registered as a pain medicine in Hallandale Beach, Florida and active in the NPI registry since June 2021. The organization lists Dmitri Petrychenko, President, as its authorized official.

NPPES Registry Identity

NPI1841860442
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NamePETRYCHENKO PAIN MANAGEMENT PA
Location Address2100 E HALLANDALE BEACH BLVD STE 210Hallandale Beach, FL 33009-3770
Mailing Address2100 E Hallandale Beach Blvd Ste 210Hallandale Beach, FL 33009-3770 · (212) 951-1238 · Fax (718) 336-5137
Phone(212) 951-1238
Fax(718) 336-5137
Organization SubpartNo
Authorized OfficialDmitri PetrychenkoPresident · (929) 320-7481
Enumeration DateJune 28, 2021
NPPES CertifiedJune 24, 2021
✔ NPI 1841860442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedSpecialistTaxonomy 174400000X
2100 E HALLANDALE BEACH BLVD STE 210, Hallandale Beach, FL 33009
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Petrychenko Pain Management Pa 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 Petrychenko Pain Management PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dmitri Petrychenko, M.D.
Pain Management
NPI 1588644272
2960 OCEAN AVE FL 6
Brooklyn, NY 11235
(718) 336-5123
✔ PECOS✔ Accepts Medicare1,067 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 Petrychenko Pain Management PA's NPI number?

The NPI number for Petrychenko Pain Management PA is 1841860442. It was assigned to this organization in the NPPES registry on June 28, 2021.

Where is Petrychenko Pain Management PA located?

Petrychenko Pain Management PA is located at 2100 E Hallandale Beach Blvd Ste 210, Hallandale Beach, FL 33009. The listed phone number is (212) 951-1238.

What is Petrychenko Pain Management PA's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Petrychenko Pain Management PA enrolled in Medicare?

Yes. Petrychenko Pain Management PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Petrychenko Pain Management PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pain Management) reassigns their Medicare billing to Petrychenko Pain Management PA. 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 Petrychenko Pain Management PA was last updated on June 28, 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.