Active NPI
Olga Marie Petrovic, M.D.
- Rheumatology Physician
- Batesville, IN
National Provider Identifier
1619005188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 01075306A
- Practice address
- 256 State Road 129 S
Batesville, IN 47006-9236 - Phone
- (812) 932-4700
- Fax
- (812) 933-5144
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 01075306A | IN | Primary |
Addresses
Primary practice location
256 State Road 129 S
Batesville, IN 47006-9236
Mailing address
P.O. Box 236
Batesville, IN 47006-0236
Phone (812) 932-3371
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0660655 | Medicaid | OH | |
| 201283440 | Medicaid | IN | |
| 64863343 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinton Memorial Hospital of Wilmington Clinton County Ohio | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Rural Acute Care Hospital
- Wilmington, OH
- NPI 1427064641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433289600000",
"number": "1619005188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 236",
"city": "BATESVILLE",
"state": "IN",
"postal_code": "470060236",
"telephone_number": "812-932-3371",
"fax_number": "812-932-3506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 STATE ROAD 129 S",
"city": "BATESVILLE",
"state": "IN",
"postal_code": "470069236",
"telephone_number": "812-932-4700",
"fax_number": "812-933-5144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETROVIC",
"first_name": "OLGA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2015-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "IN",
"license": "01075306A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0660655",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201283440",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64863343",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Batesville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.