Individual provider Active NPI

Steven W Petrakis, AUD

  • Audiologist
  • Gainesville, FL
National Provider Identifier
1417217407
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY1735 Issued in FL
Practice address
4340 Newberry Rd.
Suite 301
Gainesville, FL 32607-2557
Phone
(352) 372-9414
Fax
(352) 271-5393
NPI assigned
May 23, 2012
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY1735 FL Primary

Addresses

Primary practice location

4340 Newberry Rd.
Suite 301
Gainesville, FL 32607-2557

Mailing address

4340 Newberry Rd.
Suite 301
Gainesville, FL 32607-2557
Phone (352) 372-9414

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120710000241 FL Practitioner - Qualified Audiologist 6204091655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Accent Physician Specialists PAGroup PAC ID 4082686951, 16 clinicians

Practice addresses (Care Compare)

2086 SW Main Blvd
Suite 103
Lake City, FL 32025-0006
Phone (352) 372-9414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY1735FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Accent Physician Specialists PA Current Accepting new patients
Accent Physician Specialists, P.a. CurrentSince May 7, 2012 Accepting new patients

Locations

4340 Newberry Rd
Ste 301
Gainesville, FL 32607

2086 SW Main Blvd
Ste 103
Lake City, FL 32025
Phone (386) 755-0605

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1417217407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 NEWBERRY RD.",
            "address_2": "SUITE 301",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072557",
            "telephone_number": "352-372-9414",
            "fax_number": "352-271-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 NEWBERRY RD.",
            "address_2": "SUITE 301",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072557",
            "telephone_number": "352-372-9414",
            "fax_number": "352-271-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRAKIS",
        "first_name": "STEVEN",
        "middle_name": "W",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-23",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.