Petr R Pivec, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

24548 Issued in AZ

Practice address

4331 E Baseline Rd
Ste B106-625
Gilbert, AZ 85234-2961

Phone

(480) 834-1211

NPI assigned

Jun 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Anesthesiology

Education

Other, 1983

Medicare assignment

May accept Medicare assignment

Group practices

Pacific Sonoran Anesthesia LLCGroup PAC ID 4082989801, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Pacific Sonoran Anesthesia LLC

  • Anesthesiology Physician
  • Scottsdale, AZ
  • NPI 1467975011
  Medicare reassignment Care Compare group NPD
• Pivec PC

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1427395185
  Medicare reassignment NPD Authorized official
• Abc Anesthesiologists PLLC

  • Anesthesiology Physician
  • Mesa, AZ
  • NPI 1184662884
  NPD (past)
• Pinnacle Injury Care, LLC

  • Interventional Pain Medicine Physician
  • Scottsdale, AZ
  • NPI 1497336515
  NPD (past)
• Robert S. Gerson MD PC

  • Anesthesiology Physician
  • Mesa, AZ
  • NPI 1982893053
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1821034216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 N TENAYA WAY",
            "address_2": "STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280456",
            "telephone_number": "480-981-0216",
            "fax_number": "480-981-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4331 E BASELINE RD",
            "address_2": "STE B106-625",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342961",
            "telephone_number": "480-834-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIVEC",
        "first_name": "PETR",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "24548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "391764",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Demecia Hope Pisano, BSW
• Donna Jo Pisciotta, LCSW
• Niyanna Pitre
• Samantha Pitts
• Anna Pivec, MD
• Pivonka Health & Wellness LLC
• Platinum Surgery Center LLC
• Kathleen Elizabeth Plessner, M.ED., BCBA
• David Podkameni, M.D.
• Johanna Poertner, MS., CCC-SLP

• Anesthesiology Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Anesthesiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.