Individual provider Active NPI

Valery Petrosian, MD

  • Obstetrics & Gynecology Physician
  • Mount Kisco, NY
National Provider Identifier
1346372802
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
302134 Issued in NY
Practice address
105 S Bedford Rd Ste 305
Mount Kisco, NY 10549-3450
Phone
(914) 241-4900
Fax
(914) 241-4976
NPI assigned
Mar 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME 100218 FL
Obstetrics & Gynecology Physician 207V00000X 302134 NY Primary

Addresses

Primary practice location

105 S Bedford Rd Ste 305
Mount Kisco, NY 10549-3450

Mailing address

190 Goldens Bridge Rd
Katonah, NY 10536-2810
Phone (914) 241-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 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

Enrollment IDStateProvider typePAC IDDetails
I20110308000204 FL Practitioner - Obstetrics/Gynecology 4284782491 Reassigns benefits to 1 organization
I20200423002303 NY Practitioner - Obstetrics/Gynecology 4284782491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westchester Health Medical PCGroup PAC ID 7315221751, 87 clinicians

Practice addresses (Care Compare)

105 S Bedford Rd
Suite 305
Mount Kisco, NY 10549-3450
Phone (914) 241-4900

Hospital & facility affiliations

  • Northern Westchester Hospital Hospital, Mount Kisco, NY, CCN 330162

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 100218FLMDObstetrics & Gynecology Physician
302134NYMDObstetrics & Gynecology Physician

Practice roles (8 of 12)

OrganizationSpecialtyStatusNew patients
Westchester Health Medical, P.C. Obstetrics & Gynecology CurrentSince Apr 1, 2020 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Jun 6, 2019 Accepting new patients
Westchester Health Medical, P.C. CurrentSince Apr 1, 2020 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Jun 6, 2019 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
Baltimore Washington Professional Services Inc. Obstetrics & Gynecology Past Accepting new patients
Institute for Women'S Health and Body, LLC Obstetrics & Gynecology PastSince Jan 15, 2019 Accepting new patients
Northern Westchester Hospital Association Past Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200

91 Smith Ave
Mount Kisco, NY 10549
Phone (914) 241-1717

105 S Bedford Rd
Ste 305
Mount Kisco, NY 10549
Phone (914) 241-4900

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: vpetrosian67475@northwell.direct-ci.com

Organizations & group practices 8

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 2

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": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1346372802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 GOLDENS BRIDGE RD",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105362810",
            "telephone_number": "914-241-4900",
            "fax_number": "914-241-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S BEDFORD RD STE 305",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493450",
            "telephone_number": "914-241-4900",
            "fax_number": "914-241-4976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROSIAN",
        "first_name": "VALERY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-11",
        "last_updated": "2022-08-18",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME 100218",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "302134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

Verify at the official NPI Registry.