1. Home
  2. Directory
  3. New York
  4. Rochester
  5. Pediatrics
  6. NPI Profile

DR. TARA MARIE PETROSKI MD
NPI 1972769248
Pediatrics - Pediatric Emergency Medicine in Rochester, NY

Active since August 05, 2008PECOS Enrolled
1425 PORTLAND AVE # 304, ROCHESTER, NY 14621(585) 922-0866(585) 922-2951 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 5, 2023, May 25, 2018 (2 updates tracked since 2018).

About Dr. Tara Marie Petroski Md NPPES

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

DR. TARA MARIE PETROSKI MD (NPI 1972769248) is an individual pediatric emergency medicine provider in Rochester, New York, licensed in New York (253763) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972769248
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameDR. TARA MARIE PETROSKICredential: MD
Location Address1425 PORTLAND AVE # 304Rochester, NY 14621
Mailing Address1425 Portland Ave # 304Rochester, NY 14621-3095 · (585) 922-0866 · Fax (585) 922-2951
Phone(585) 922-0866
Fax(585) 922-2951
Sole ProprietorNo
Enumeration DateAugust 5, 2008
Last NPPES UpdateJanuary 5, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2023
✔ NPI 1972769248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in NY · 253763
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 253763-1 (NY)
1425 PORTLAND AVE # 304, Rochester, NY 14621
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tara Marie Petroski Md 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

3

Medicare enrollment records show Tara Petroski reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rochester General Hospital
0.1 mi
General Acute Care Hospital
1425 PORTLAND AVE
Rochester, NY 14621
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
NPI 1063531929 (585) 922-4000
Newark Wayne Community Hospital
26 mi
General Acute Care Hospital
1200 DRIVING PARK AVE
Newark, NY 14513
  • Reassigned Medicare billing, New York enrollment
  • 679 clinicians in this Medicare group
NPI 1346369212 (315) 332-2022
University At Buffalo Pediatric Associates Inc
68 mi
Pediatrics
1001 MAIN ST FL 4
Buffalo, NY 14203
  • Reassigned Medicare billing, New York enrollment
  • 217 clinicians in this Medicare group
NPI 1912928599 (716) 323-0225

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 Tara Petroski's NPI number?

The NPI number for Tara Petroski is 1972769248. It was assigned to this individual provider in the NPPES registry on August 5, 2008.

Where is Tara Petroski located?

Tara Petroski practices at 1425 Portland Ave # 304, Rochester, NY 14621. The listed phone number is (585) 922-0866.

What is Tara Petroski's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Tara Petroski enrolled in Medicare?

Yes. Tara Petroski is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tara Petroski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara Petroski reassigns Medicare benefits to 3 organizations: Rochester General Hospital (Rochester, NY), Newark Wayne Community Hospital (Newark, NY) and University At Buffalo Pediatric Associates Inc (Buffalo, 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 Tara Petroski'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 Tara Petroski was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.