Individual provider Active NPI

Ivo Petoe, MD

  • Neurological Surgery Physician
  • Pittsburgh, PA
National Provider Identifier
1063908820
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
292962 Issued in NY
Practice address
200 Lothrop St Ste B-400
Pittsburgh, PA 15213-2536
Phone
(412) 647-3685
NPI assigned
Jul 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 292962 NY Primary

Addresses

Primary practice location

200 Lothrop St Ste B-400
Pittsburgh, PA 15213-2536

Mailing address

300 Community Dr
Manhasset, NY 11030-3816

Other names 1

  • Dr. Ivo Peto Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250116000674 PA Practitioner - Neurosurgery 8729516927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 919229
Dallas, TX 75391

PO Box
Suite 919229
Dallas, TX 75391-9229

Hospital & facility affiliations

  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
292962NYMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jan 1, 2025 Accepting new patients
Lafayette Health Ventures Inc CurrentSince Sep 25, 2025 Accepting new patients
University of Pittsburgh Physicians Neurological Surgery CurrentSince Jan 1, 2025 Accepting new patients
Lafayette Health Ventures, Inc CurrentSince Sep 25, 2025 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Lafayette Health Ventures Inc Current Accepting new patients

Locations

155 Hospital Dr
Ste 301
Lafayette, LA 70503
Phone (337) 232-1010

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

200 Lothrop St
Ste B400
Pittsburgh, PA 15213
Phone (412) 647-3685

Organizations & group practices 6

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

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": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1063908820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 COMMUNITY DR",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LOTHROP ST STE B-400",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132536",
            "telephone_number": "412-647-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETOE",
        "first_name": "IVO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-05",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "292962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVO",
            "last_name": "PETO",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.