Active NPI
Karolina Petro, M.D.
- Pediatrics Physician
- Binghamton, NY
National Provider Identifier
1730611484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 316746
- Practice address
- 10-42 Mitchell Ave
Binghamton, NY 13903-1617 - Phone
- (607) 762-2468
- NPI assigned
- Mar 31, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA10796200 | NJ | |
| Pediatrics Physician | 208000000X | 316746 | NY | Primary |
Addresses
Primary practice location
10-42 Mitchell Ave
Binghamton, NY 13903-1617
Mailing address
33 Lewis Rd FL 2
Binghamton, NY 13905-1055
Phone (607) 770-0025
Other names 1
- Karolina Bukala
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 316746 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Medical Associates, P.C. | Current | Accepting new patients | |
| United Health Services Hospitals, Inc. | Current | Accepting new patients | |
| United Medical Associates PC | Current | Accepting new patients | |
| United Health Services Hospitals, Inc. | Past | Accepting new patients |
Locations
10-42 Mitchell Ave
Binghamton, NY 13903
Phone (607) 762-2468
33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156
91 Chenango Bridge Rd
Binghamton, NY 13901
Phone (607) 648-4151
33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412
Interoperability endpoints
- https://epicproxy.et1127.epichosted.com/FHIRproxy/api/FHIR/R4/
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
-
- Clinic/Center
- Binghamton, NY
- NPI 1013972801
-
- Durable Medical Equipment & Medical Supplies
- Binghamton, NY
- NPI 1629252556
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1518998699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656633600000",
"number": "1730611484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 LEWIS RD FL 2",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139051055",
"telephone_number": "607-770-0025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10-42 MITCHELL AVE",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139031617",
"telephone_number": "607-762-2468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRO",
"first_name": "KAROLINA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-31",
"last_updated": "2022-07-01",
"certification_date": "2022-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA10796200",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "316746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAROLINA",
"last_name": "BUKALA",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Binghamton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.