Individual provider Active NPI

Linda Michelle Petrovich, MD

  • Diagnostic Radiology Physician
  • Haddonfield, NJ
National Provider Identifier
1528028248
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA06866900 Issued in NJ
Practice address
240 Wood LN
Haddonfield, NJ 08033-1423
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
Mar 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA06866900 NJ Primary

Addresses

Primary practice location

240 Wood LN
Haddonfield, NJ 08033-1423

Mailing address

11995 Singletree LN
Ste 500
Eden Prairie, MN 55344-5347
Phone (952) 595-1301

Other names 1

  • Linda Michelle Kulzer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX, CO, FL, NJ, OK, WY, AZ, WA9 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 9

Enrollment IDStateProvider typePAC IDDetails
I20070824000371 NM Practitioner - Diagnostic Radiology 6204935315 Reassigns benefits to 1 organization
I20081104000247 TX Practitioner - Diagnostic Radiology 6204935315 Reassigns benefits to 1 organization
I20090209000300 CO Practitioner - Diagnostic Radiology 6204935315 Reassigns benefits to 1 organization
I20091120000617 FL Practitioner - Diagnostic Radiology 6204935315 Reassigns benefits to 9 organizations
I20110524000472 NJ Practitioner - Diagnostic Radiology 6204935315 Reassigns benefits to 5 organizations
I20240124000203 OK Practitioner - Diagnostic Radiology 6204935315 Reassigns benefits to 1 organization
I20250121001587 WY Practitioner - Diagnostic Radiology 6204935315 Reassigns benefits to 2 organizations
I20251028001799 AZ Practitioner - Diagnostic Radiology 6204935315 Reassigns benefits to 1 organization
I20260121003337 WA Practitioner - Diagnostic Radiology 6204935315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Tulane University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians
Imaging Associates of New Mexico LLCGroup PAC ID 4981970233, 164 clinicians
Eagle Partners, PLLCGroup PAC ID 9032205752, 170 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Yampa Valley Medical CenterGroup PAC ID 5890685689, 128 clinicians
Medical Imaging Associates of Idaho Falls IncGroup PAC ID 7618876590, 66 clinicians
Mountain Radiology IncGroup PAC ID 4688666761, 77 clinicians
Sierra Vista HospitalGroup PAC ID 0143122416, 64 clinicians

Practice addresses (Care Compare)

Haddonfield, NJ 08033
Phone (832) 915-2534

Jacksonville, FL 32224
Phone (505) 225-8476

Fort Walton Beach, FL 32548
Phone (505) 225-8476

Tampa, FL 33609
Phone (405) 334-5226

Treasure Island, FL 33706
Phone (505) 225-8476

1024 Central Park Dr
Steamboat SPR, CO 80487-8813
Phone (970) 879-1322

1621 Caribbean Dr
Sarasota, FL 34231-5305
Phone (208) 715-5220

2205 59TH St S
Gulfport, FL 33707-5043
Phone (832) 915-2534

240 Wood LN
Haddonfield, NJ 08033-1423
Phone (505) 225-8476

6720 Bertner Ave
MC2 270
Houston, TX 77030-2604
Phone (281) 466-4401

710 116TH Ave
Treasure Island, FL 33706-1024
Phone (970) 900-6856

800 E 9TH Ave
Truth Or Consequences, NM 87901-1954
Phone (575) 894-2111

9659 Castle Way Dr
Windermere, FL 34786-8207
Phone (623) 299-8743

Hospital & facility affiliations

  • Memorial Medical Center Hospital, Las Cruces, NM, CCN 320018
  • Duncan Regional Hospital, Inc Hospital, Duncan, OK, CCN 370023
  • Las Palmas Medical Center a Campus of LPDS Healthc Hospital, El Paso, TX, CCN 450107
  • Christus Spohn Hospital Corpus Christi Hospital, Corpus Christi, TX, CCN 450046
  • Dallas Regional Medical Center Hospital, Mesquite, TX, CCN 450688

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06866900NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Multicare Health System CurrentSince Dec 3, 2025 Accepting new patients
Eagle Partners, PLLC Diagnostic Radiology CurrentSince Jun 27, 2023 Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology CurrentSince Sep 9, 2020 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince May 29, 2020 Accepting new patients
Sierra Vista Hospital CurrentSince Mar 1, 2023 Accepting new patients
Consultants in Radiology PA Diagnostic Radiology CurrentSince Aug 11, 2023 Accepting new patients
Multicare Health System CurrentSince Dec 3, 2025 Accepting new patients
Memorial Hospital of Carbon County CurrentSince Nov 18, 2024 Accepting new patients
Memorial Hospital of Carbon County CurrentSince Nov 18, 2024 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince May 26, 2023 Accepting new patients
Medical Imaging Associates of Idaho Falls, Inc Diagnostic Radiology CurrentSince Dec 9, 2025 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Nov 1, 2020 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Sep 1, 2015 Accepting new patients
Memorial Hospital of Carbon County Current Accepting new patients
Associated Valley Radiologists LTD Diagnostic Radiology CurrentSince Nov 21, 2024 Accepting new patients
Elevation Medical Imaging Evanston CurrentSince Aug 1, 2024 Accepting new patients
Bluegrass Radiology Associates Inc Diagnostic Radiology Past Accepting new patients
Piedmont Diagnostic Radiology PC Diagnostic Radiology Past Accepting new patients
Hardin Professional Services, LLC Diagnostic Radiology Past Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients
Synergy Radiology Associates PastSince Jun 11, 2023 Accepting new patients
Imaging Associates of Michigan PLLC Diagnostic Radiology Past Accepting new patients
Northern Virginia Radiology Consultants, PLLC Diagnostic Radiology Past Accepting new patients
Lake Cumberland Regional Hospital, LLC Past Accepting new patients
Virtual Radiologic Professionals of Texas I, P.a. Diagnostic Radiology Past Accepting new patients
Virginia Radiological Associates PLLC Diagnostic Radiology Past Accepting new patients
Sierra Vista Hospital Past Accepting new patients

Locations (25 of 33)

1828 E Florence Blvd
Ste 118
Casa Grande, AZ 85122
Phone (520) 381-9729

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

18275 N 59th Ave
Ste 168
Glendale, AZ 85308

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

3501 N Scottsdale Rd
Ste 130
Scottsdale, AZ 85251

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

2200 S Houghton Rd
Tucson, AZ 85748
Phone (520) 287-5728

3601 S 6th Ave
Tucson, AZ 85723

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

2740 SW Martin Downs Blvd
Palm City, FL 34990

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746

800 E 9th Ave
Truth Or Consequences, NM 87901
Phone (505) 743-1270

3100 SW 89th St
Oklahoma City, OK 73159
Phone (405) 602-8100

4780 N Josey Ln
Carrollton, TX 75010
Phone (972) 395-2293

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

Interoperability endpoints

  • Direct secure messaging: linda.petrovich@westgahealth.gadirect.net

Organizations & group practices 31

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.

View all 31

Hospital & facility affiliations 5

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": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1528028248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN",
            "address_2": "STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445347",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 WOOD LN",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080331423",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROVICH",
        "first_name": "LINDA",
        "middle_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-25",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA06866900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "KULZER",
            "middle_name": "MICHELLE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Haddonfield, NJ

Sources for this page

Verify at the official NPI Registry.