Active NPI
Andrew Michael Petraszko, M.D.
- Diagnostic Radiology Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME178934
- Practice address
- 2799 W Grand Blvd
Detroit, MI 48202-2608 - Phone
- (313) 916-1601
- Fax
- (313) 916-8843
- NPI assigned
- Mar 23, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME178934 | FL | Primary |
Addresses
Primary practice location
2799 W Grand Blvd
Detroit, MI 48202-2608
Mailing address
2799 W Grand Blvd
Detroit, MI 48202-2608
Other practice location 1
6311 S Pointe Blvd
Fort Myers, FL 33919-4901
Phone (239) 331-5566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131439600 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | apetraszko713619@Direct.leememorial.org | Direct | LEE HEALTH SYSTEM INC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Wayne State University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Auburn Dr
Beachwood, OH 44122-4317
Phone (216) 285-5028
11100 Euclid Ave
Cleveland, OH 44106-1716
13207 Ravenna Rd
Chardon, OH 44024-7032
Phone (440) 285-6000
158 W Main Rd
Conneaut, OH 44030-2039
Phone (440) 593-1131
15976 E High St
Middlefield, OH 44062-9474
Phone (440) 632-0408
29000 Ctr Ridge Rd
Westlake, OH 44145-5219
Phone (440) 250-8660
32800 Lorain Rd
North Ridgeville, OH 44039-3430
Phone (440) 406-5550
36000 Euclid Ave
Willoughby, OH 44094-4625
Phone (216) 844-3800
3999 Richmond Rd
Beachwood, OH 44122-6046
Phone (216) 593-5500
870 W Main St
Geneva, OH 44041-1219
Phone (216) 286-6242
9000 Mentor Ave
Mentor, OH 44060-4496
Phone (440) 205-4505
960 Clague Rd
Suite 2470
Westlake, OH 44145-1585
Phone (216) 844-1988
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Pathology | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford Health System | Diagnostic Radiology | Current | Accepting new patients |
| The Metrohealth System | Diagnostic Radiology | Current | Accepting new patients |
| The Metrohealth System | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| University Hospitals Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
Locations
1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
11100 Euclid Ave
Cleveland Heights, OH 44106
20800 Harvard Rd
Fl 2
Highland Hills, OH 44122
Phone (216) 358-2156
Interoperability endpoints
- apetraszko207434@direct.metrohealth.org
- apetraszko30271@ehrdirect.uhhospitals.org
Organizations & group practices 10
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.
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
Diagnostic Radiology
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1053353896
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Fort Myers, FL
- NPI 1518907823
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1942058557
-
- Diagnostic Radiology Physician
- Detroit, MI
- NPI 1508942681
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
- Anatomic Pathology & Clinical Pathology Physician
- Detroit, MI
- NPI 1851410005
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1700828852
-
- Pharmacy
- Cleveland, OH
- NPI 1992529911
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elyria, OH
- NPI 1841299039
-
- General Acute Care Hospital
- Willoughby, OH
- NPI 1972689172
-
- General Acute Care Hospital
- Chardon, OH
- NPI 1669562864
-
- General Acute Care Hospital
- Beachwood, OH
- NPI 1609189604
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1043397292
-
- Multi-Specialty Clinic/Center
- Mentor, OH
- NPI 1487770335
Hospital
-
- Multi-Specialty Clinic/Center
- Westlake, OH
- NPI 1669598082
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1144529504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2799 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2799 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022608",
"telephone_number": "313-916-1601",
"fax_number": "313-916-8843"
}
],
"practiceLocations": [
{
"address_1": "6311 S Pointe Blvd",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339194901",
"country_code": "US",
"telephone_number": "239-331-5566",
"fax_number": "239-437-7499",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETRASZKO",
"first_name": "ANDREW",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-23",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME178934",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131439600",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "apetraszko713619@Direct.leememorial.org",
"affiliation": "Y",
"affiliationName": "LEE HEALTH SYSTEM INC",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2776 Cleveland Ave",
"city": "Fort Myers",
"state": "FL",
"country_code": "US",
"postal_code": "339015864",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.