Louis Daniel Petrellis, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0S006198L Issued in PA

Practice address

1718 Welsh Rd
Philadelphia, PA 19115-4241

Phone

(215) 673-1700

Fax

(215) 673-1704

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Pinnacle Physicians Group LLC

  • Family Medicine Physician
  • Trevose, PA
  • NPI 1184984809
  Medicare reassignment NPD
• Advocare, LLC

  • Pediatrics Physician
  • Marlton, NJ
  • NPI 1770538696

  Family Medicine, PA

  Medicare reassignment NPD
• Advocare , LLC

  dba Advocare Berlin Medical Associates (DME)

  • Internal Medicine Physician
  • Manahawkin, NJ
  • NPI 1912762162
  NPD
• Burstein Medical Associates, P.C.

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1760496368
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1235161662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 WELSH RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154241",
            "telephone_number": "215-673-1444",
            "fax_number": "215-673-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 WELSH RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154241",
            "telephone_number": "215-673-1700",
            "fax_number": "215-673-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRELLIS",
        "first_name": "LOUIS",
        "middle_name": "DANIEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "0S006198L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01272990",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gyula Michael Petranyi, MD
• Lauren Petrarca
• Olivia Petrasek, PA-C
• Petrelli Chiropractic & Rehabilitation, Inc.
• Vincent Petrelli, D.C.
• Matteo Petrera, MD
• Patrick Petrera
• William R Petricone Jr., MD
• Michael Petrides
• Noel F Petrie, LCSW

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.