Individual provider Active NPI

Adam Fine Petraglia

  • Neuroradiology Physician
  • Ypsilanti, MI
National Provider Identifier
1649809591
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
MD493640 Issued in PA
Practice address
Academic Internal Medicine Clinic
5333 McAuley Drive, Suite 4001
Ypsilanti, MI 48197-8633
Phone
(734) 712-3980
NPI assigned
Apr 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2025-03791 NC
Student in an Organized Health Care Education/Training Program 390200000X
Neuroradiology Physician 2085N0700X MD493640 PA Primary

Addresses

Primary practice location

Academic Internal Medicine Clinic
5333 McAuley Drive, Suite 4001
Ypsilanti, MI 48197-8633

Mailing address

200 Lothrop St
Pittsburgh, PA 15213-2536
Phone (412) 647-0104

Other practice location 1

Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-7243

Other practice location 2

200 Lothrop St
Pittsburgh, PA 15213-2536
Phone (412) 647-0104

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address UPMChospitals@upmcdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, PA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20260228000349 NC Practitioner - Diagnostic Radiology 3779907712 Reassigns benefits to 3 organizations
I20260608001225 PA Practitioner - Diagnostic Radiology 3779907712

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Virginia School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

200 Lothrop St
Pittsburgh, PA 15213-2536

275 Clairton Blvd
West Mifflin, PA 15236-1426
Phone (412) 650-2375

5230 Centre Ave
Pittsburgh, PA 15232-1304

600 Oxford Dr
Suite 210
Monroeville, PA 15146-2355
Phone (412) 692-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025-03791NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Health Network, LLC CurrentSince Feb 23, 2026 Accepting new patients
Wake Forest Health Network LLC Diagnostic Radiology CurrentSince Feb 23, 2026 Accepting new patients
Wake Forest Baptist Imaging, LLC Diagnostic Radiology CurrentSince Feb 23, 2026 Accepting new patients
Wake Forest Baptist Imaging, LLC Diagnostic Radiology CurrentSince Feb 23, 2026 Accepting new patients
Wake Forest University Health Sciences CurrentSince Feb 23, 2026 Accepting new patients
Lashinsky and Wininger, M.D. P.C. PastSince Feb 23, 2026 Accepting new patients

Locations

223 W Ward St
Ste B
Asheboro, NC 27203
Phone (336) 702-1731

223 W Ward St
#B
Asheboro, NC 27203

1814 Westchester Dr
Ste 100
High Point, NC 27262
Phone (336) 802-2397

861 Old Winston Rd
Ste 105
Kernersville, NC 27284
Phone (336) 765-5722

2295 E 14th St
Ste 500
Winston Salem, NC 27105
Phone (336) 713-4485

265 Executive Park Blvd
Winston Salem, NC 27103
Phone (336) 765-5722

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1649809591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LOTHROP ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132536",
            "telephone_number": "412-647-0104",
            "fax_number": "412-647-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ACADEMIC INTERNAL MEDICINE CLINIC",
            "address_2": "5333 MCAULEY DRIVE, SUITE 4001",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481978633",
            "telephone_number": "734-712-3980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271570001",
            "country_code": "US",
            "telephone_number": "336-716-7243",
            "fax_number": "336-716-7432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Lothrop St",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152132536",
            "country_code": "US",
            "telephone_number": "412-647-0104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETRAGLIA",
        "first_name": "ADAM",
        "middle_name": "FINE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-03",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2025-03791",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "PA",
            "license": "MD493640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UPMChospitals@upmcdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "600 Grant St",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.