Pavel Stoyanov Petkov, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

45220 Issued in AZ

Practice address

4212 N 16TH St
Phoenix, AZ 85016-5319

Phone

(602) 263-1200

Fax

(602) 263-1619

NPI assigned

Sep 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, TX2 enrollments

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 2

Specialty

Obstetrics/Gynecology

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sun Life Family Health Center IncGroup PAC ID 9335032275, shared by 12 NPIs, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Phoenix Indian Medical Center Hospital, Phoenix, AZ, CCN 030078
• Banner Casa Grande Medical Center Hospital, Casa Grande, AZ, CCN 030016

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ppetkov289296@direct.valleywisehealth.org

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.

• Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm

  • Public Health or Welfare Agency
  • Phoenix, AZ
  • NPI 1083643738

  TX

  Medicare reassignment NPD
• District Medical Group, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Phoenix, AZ
  • NPI 1336472448
  Medicare reassignment NPD
• Sun Life Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Casa Grande, AZ
  • NPI 1891913166
  Medicare reassignment NPD
• Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm

  • Public Health or Welfare Agency
  • Maricopa, AZ
  • NPI 1538043443
  NPD
• District Medical Group, Inc

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1144624339
  NPD
• District Medical Group, Inc

  • Diagnostic Radiology Physician
  • Phoenix, AZ
  • NPI 1568795532
  NPD
• Sun Life Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Casa Grande, AZ
  • NPI 1417286568
  NPD
• Sun Life Family Health Center, Inc.

  • Community/Retail Pharmacy
  • Casa Grande, AZ
  • NPI 1275693947
  NPD
• Sun Life Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Eloy, AZ
  • NPI 1588876429
  NPD
• Sun Life Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Florence, AZ
  • NPI 1902278252
  NPD
• Banner Health

  • General Acute Care Hospital
  • Casa Grande, AZ
  • NPI 1003232976
  NPD (past)
• Banner Health

  • General Acute Care Hospital
  • Chandler, AZ
  • NPI 1972139004
  NPD (past)

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

• Banner Health

  • General Acute Care Hospital
  • Casa Grande, AZ
  • NPI 1003232976
  Care Compare affiliation

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1194910570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95460",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441010033",
            "telephone_number": "602-581-6076",
            "fax_number": "602-263-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165319",
            "telephone_number": "602-263-1200",
            "fax_number": "602-263-1619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1705 W Main St",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852016920",
            "country_code": "US",
            "telephone_number": "877-809-5092 x3316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1705 W Main St",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852016920",
            "country_code": "US",
            "telephone_number": "877-809-5092 x3316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1864 E Florence Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "85122",
            "country_code": "US",
            "telephone_number": "520-381-0380",
            "fax_number": "520-836-1826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44765 W. Hathaway Ave.",
            "address_purpose": "LOCATION",
            "city": "Maricopa",
            "state": "AZ",
            "postal_code": "85138",
            "country_code": "US",
            "telephone_number": "520-788-6100",
            "fax_number": "520-788-6140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETKOV",
        "first_name": "PAVEL",
        "middle_name": "STOYANOV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-10",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "53240-020",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "45220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy John Peterson, M.D.
• Warren Richard Peterson, D.D.S.
• Sheryl Ann Peteuil, FNP-C
• Amanda Lee Pethers
• Rocco J Petitti
• Colleen Petranovich, PT, DPT
• Roland W Petri, M.D.
• Joyce D Petrick, NP
• Melissa Petrick, FNP-C
• Cody W Petrie, MD

• Obstetrics & Gynecology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Obstetrics & Gynecology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.

Verify at the official NPI Registry.