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GALINA PETLAKH
NPI 1992511588
Registered Nurse - Administrator in Birmingham, MI

Active since December 09, 2024PECOS Enrolled
608 PURDY ST, BIRMINGHAM, MI 48009(248) 320-7295 Get Directions Write a Review

NPPES record last updated: January 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 11, 2025, Dec 9, 2024 (2 updates tracked since 2024).

About Galina Petlakh NPPES

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

GALINA PETLAKH (NPI 1992511588) is an individual administrator provider in Birmingham, Michigan, licensed in Michigan (4704211679) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Michigan College Of Medicine And Surgery (2020).

NPPES Registry Identity

NPI1992511588
Entity TypeIndividualFemale
Primary Taxonomy163WA2000X
Provider Legal NameGALINA PETLAKH
Location Address608 PURDY STBirmingham, MI 48009-1795
Mailing Address608 Purdy StBirmingham, MI 48009-1795 · (248) 320-7295
Phone(248) 320-7295
Sole ProprietorYes
Medical School CMSMichigan College Of Medicine And SurgeryGraduated 2020
Enumeration DateDecember 9, 2024
Last NPPES UpdateJanuary 11, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2025
✔ NPI 1992511588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · AdministratorNursing Service Providers
Taxonomy Code163WA2000X
License✔ Licensed in MI · 4704211679
Also ListedCommunity Health WorkerTaxonomy 172V00000X
608 PURDY ST, Birmingham, MI 48009
Open in Google Maps ↗

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, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Galina Petlakh is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749676625
PECOS Enrollment IDI20250818000378
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATALIYA BORSHCH
Community Health Worker
608 PURDY ST
BIRMINGHAM, MI 48009
Oakland County (248) 320-7295
GLS SOLUTION LLC
Community Health Worker
608 PURDY ST
BIRMINGHAM, MI 48009
Oakland County (248) 320-7295

Frequently Asked Questions

What is Galina Petlakh's NPI number?

The NPI number assigned to this healthcare provider is 1992511588, enumerated as an "individual" on December 09, 2024.

Where is the provider located?

The provider is located at 608 PURDY ST BIRMINGHAM, MI 48009 and the phone number is (248) 320-7295.

What is the provider's specialty?

Registered Nurse with taxonomy code 163WA2000X and a focus in Administrator.