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

Q: 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.

Q: What is Tara Petroski's specialty?

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

Q: 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.

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: August 09, 2026.

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

On this page

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

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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. 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.

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.

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.