Individual provider Active NPI

Nicholas Petrinec, D.O.

  • Anesthesiology Physician
  • Key West, FL
National Provider Identifier
1023320900
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS17436 Issued in FL
Practice address
5900 College Rd
Key West, FL 33040-4342
Phone
(305) 294-5531
NPI assigned
Jul 8, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 5101020842 MI
Anesthesiology Physician 207L00000X OS17436 FL Primary

Addresses

Primary practice location

5900 College Rd
Key West, FL 33040-4342

Mailing address

39 Palm Dr
Key West, FL 33040-6117
Phone (248) 884-8503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210205000012 FL Practitioner - Anesthesiology 2163648494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Midwestern University, Chicago College of Osteopathic Med, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Key West Anesthesia Services LLCGroup PAC ID 6204183833, 7 clinicians

Practice addresses (Care Compare)

5900 College Rd
Key West, FL 33040-4342
Phone (305) 294-5531

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Key West Anesthesia Services LLC Anesthesiology CurrentSince Feb 1, 2021 Accepting new patients
American Anesthesiology Associates of Michigan, PC Anesthesiology Past Accepting new patients

Locations

5900 W Junior College Rd
Key West, FL 33040
Phone (305) 294-5531

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1023320900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 PALM DR",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330406117",
            "telephone_number": "248-884-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 COLLEGE RD",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404342",
            "telephone_number": "305-294-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRINEC",
        "first_name": "NICHOLAS",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-08",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "5101020842",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "OS17436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

Verify at the official NPI Registry.