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VIVIANA PETRU
NPI 1891220109
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since April 24, 2017PECOS EnrolledAccepts Medicare Assignment
234 E 149TH ST, BRONX, NY 10451(818) 401-3366 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 2, 2021, Apr 24, 2017 (2 updates tracked since 2017).

About Viviana Petru NPPES

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

VIVIANA PETRU (NPI 1891220109) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1891220109
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameVIVIANA PETRU
Location Address234 E 149TH STBronx, NY 10451-5504
Mailing Address234 E 149th StBronx, NY 10451-5504 · (818) 401-3366
Phone(818) 401-3366
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateApril 24, 2017
Last NPPES UpdateDecember 2, 20212 updates tracked since enumeration
NPPES CertifiedDecember 2, 2021
✔ NPI 1891220109 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.
234 E 149TH ST, Bronx, NY 10451
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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 and accepts Medicare assignment

Viviana Petru is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002227709
PECOS Enrollment IDI20201202000937
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 Reassignment

Medicare enrollment records show Viviana Petru reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
2,431 mi
Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1225060742 (619) 528-5000

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

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.

DR. THOMAS HENRY PARRY M.D.
Emergency Medicine
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-6010
MAIRA FONSECA
Dermatology
234 E 149TH ST
BRONX, NY 10451
Bronx County (212) 639-3210
DR. RO GONSALVES M.D.
Emergency Medicine
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000
JONATHAN V LI MD
Student in an Organized Health Care Education/Training Program
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000
ZULEYKA A GRULLON LCSW
Social Worker (Clinical)
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000
JOSHUA RONALD GRAVEL MD, MSC
Emergency Medicine
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000
REBEKAH SNITKOFF
Physician Assistant
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000
MR. CARLOS ESTEBAN NARVAEZ MD
Student in an Organized Health Care Education/Training Program
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000

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 Viviana Petru's NPI number?

The NPI number for Viviana Petru is 1891220109. It was assigned to this individual provider in the NPPES registry on April 24, 2017.

Where is Viviana Petru located?

Viviana Petru practices at 234 E 149th St, Bronx, NY 10451. The listed phone number is (818) 401-3366.

What is Viviana Petru's specialty?

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

Is Viviana Petru enrolled in Medicare?

Yes. Viviana Petru is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Viviana Petru's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Viviana Petru reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The 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 Viviana Petru'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 Viviana Petru was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.