Joseph Petro, MD
Individual provider Active NPI Cardiovascular Disease Physician · Norwich, NY
NPI 1154825263 · NPPES record last updated Nov 19, 2025
Key facts
- NPI
- 1154825263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 316637 (NY)
- Practice address
- 179 N Broad St
Norwich, NY 13815-1019 - Phone
- (607) 337-4111
- NPI assigned
- Mar 22, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chenango Memorial Hospital Inc
Practice addresses (Care Compare)
179 N Broad St
Norwich, NY 13815-1019
Phone (607) 337-4111
Hospital & facility affiliations
- Chenango Memorial Hospital
- United Health Services Hospitals, Inc
- Bassett Healthcare
- Aurelia Osborn Fox Memorial Hospital
- Delaware Valley Hospital, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250912001700 | NY | Practitioner - Cardiovascular Disease (Cardiology) | 0749685378 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 316637 | NY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chenango Memorial Hospital Inc | Current |
Accepting new patients | |
| Chenango Memorial Hospital Inc | Current |
Accepting new patients | |
| Chenango Memorial Hospital, Inc. | Internal Medicine | Past | Accepting new patients |
Locations
33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156
179 N Broad St
Norwich, NY 13815
Phone (607) 337-4111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 316637 | NY | Yes |
Addresses
Primary practice location
179 N Broad St
Norwich, NY 13815-1019
Mailing address
916 Farm to Market Rd
Endwell, NY 13760-1108
Phone (607) 221-8893
Other providers in Norwich, NY
- Jacquelyn T Parry
- Carolyn Joanne Pasternak
- Stephanie Marie Peltz
- Karen K Perkins
- Laura Perkins
- Nancy Jean Phillips
- Kevin Michael Pipher
- Carrieanne Pisani
- Joseph Pisani
- Podiatry Services of Central New York, PC
All providers in Norwich, NY · Cardiovascular Disease Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.