Active NPI
Dinko Petrov, CRNA
- Certified Registered Nurse Anesthetist
- Shelton, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209017363
- Practice address
- 2 Trap Falls Rd Ste 414
Shelton, CT 06484-7621 - Phone
- (203) 929-7353
- Fax
- (203) 929-0756
- NPI assigned
- Sep 30, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209017363 | IL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | CT |
Addresses
Primary practice location
2 Trap Falls Rd Ste 414
Shelton, CT 06484-7621
Mailing address
2 Trap Falls Rd Ste 414
Shelton, CT 06484-7622
Phone (203) 929-7353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, IL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Kish Hospital Dr
Dekalb, IL 60115-9602
100 5TH St
Oswego, IL 60543-8338
Phone (630) 449-0085
1325 N Highland Ave
Aurora, IL 60506-1449
Phone (630) 859-2222
2525 Kaneville Rd
Geneva, IL 60134-2578
Phone (630) 584-1400
Hospital & facility affiliations
- Presence Mercy Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209017363 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ias Illinois PC | Current | Accepting new patients | |
| Integrated Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates, LTD | Current | Accepting new patients |
Locations
80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249
2 Trap Falls Rd
Ste 414
Shelton, CT 06484
Phone (860) 282-4128
2 Corporate Dr
Ste 955
Shelton, CT 06484
Phone (203) 929-7375
1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521
2525 Kaneville Rd
Geneva, IL 60134
Phone (630) 584-1400
100 5th St
Oswego, IL 60543
Phone (630) 449-0085
Organizations & group practices 3
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.
-
- Pain Medicine (Anesthesiology) Physician
- Aurora, IL
- NPI 1952308223
-
- Anesthesiology Physician
- Geneva, IL
- NPI 1265118723
-
- Anesthesiology Physician
- Shelton, CT
- NPI 1881636397
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Aurora, IL
- NPI 1598503922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758585600000",
"number": "1447760780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 TRAP FALLS RD STE 414",
"city": "SHELTON",
"state": "CT",
"postal_code": "064847622",
"telephone_number": "203-929-7353",
"fax_number": "203-929-0756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 TRAP FALLS RD STE 414",
"city": "SHELTON",
"state": "CT",
"postal_code": "064847621",
"telephone_number": "203-929-7353",
"fax_number": "203-929-0756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETROV",
"first_name": "DINKO",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-30",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209017363",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CT",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.