Individual provider Active NPI

Lauren Petrovich, DO

  • Anesthesiology Physician
  • Chillicothe, OH
National Provider Identifier
1508211434
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS020578 Issued in PA
Practice address
847 Adena Rd
Chillicothe, OH 45601-1372
Phone
(800) 319-7248
NPI assigned
Apr 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X OS020578 PA Primary

Addresses

Primary practice location

847 Adena Rd
Chillicothe, OH 45601-1372

Mailing address

14109 Auburn Rd
Newbury, OH 44065-9703
Phone (440) 223-7633

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200826002460 PA Practitioner - Anesthesiology 5092001297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

232 W 25TH St
Ahn Saint Vincent Anesthesia
Erie, PA 16544-0002
Phone (814) 452-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS020578PAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Medical Education and Research Institute Inc CurrentSince Apr 1, 2022 Accepting new patients

Locations

155 E State St
Albion, PA 16401
Phone (814) 756-4917

312 W 25th St
Erie, PA 16502
Phone (814) 452-5309

232 W 25th St
Erie, PA 16544
Phone (814) 452-5337

Interoperability endpoints

  • Direct secure messaging: lpetrovich309582@direct.ahn.org

Organizations & group practices 1

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 1

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": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1508211434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14109 AUBURN RD",
            "city": "NEWBURY",
            "state": "OH",
            "postal_code": "440659703",
            "telephone_number": "440-223-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 ADENA RD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456011372",
            "telephone_number": "800-319-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROVICH",
        "first_name": "LAUREN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-28",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "OS020578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.