Active NPI
Robert Allan Petrarca, D.O.
- Family Medicine Physician
- Lewisburg, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2268
- Practice address
- 400 N Jefferson St
Robert C. Byrd Clinic
Lewisburg, WV 24901-1177 - Phone
- (304) 645-3220
- NPI assigned
- Nov 22, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2268 | WV | Primary |
| Emergency Medicine Physician | 207P00000X | 2268 | WV |
Addresses
Primary practice location
400 N Jefferson St
Robert C. Byrd Clinic
Lewisburg, WV 24901-1177
Mailing address
400 N Jefferson St
Robert C. Byrd Clinic
Lewisburg, WV 24901-1177
Phone (304) 645-3220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- West Virginia School of Osteopathic Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
122 12TH St
Princeton, WV 24740-2312
Phone (304) 487-7936
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2268 | WV | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Princeton Community Hospital Assn., Inc. | Current | Accepting new patients | |
| Princeton Community Hospital Assn., Inc | Current | Accepting new patients | |
| Greenbrier Emergency Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| Princeton Community Hospital Assn Inc. | Current | Accepting new patients | |
| Oak Hill Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
Locations
401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325
500 Cherry St
Bluefield, WV 24701
Phone (304) 324-2614
430 Main St W
Oak Hill, WV 25901
Phone (276) 325-0678
122 12th St
Princeton, WV 24740
Phone (304) 487-7061
601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156
Interoperability endpoints
- rpetrarc@yourcarecommunity.org
Organizations & group practices 5
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.
-
- Urology Physician
- Princeton, WV
- NPI 1093917643
-
- Emergency Medicine Physician
- Gassaway, WV
- NPI 1568401461
-
- General Acute Care Hospital
- Princeton, WV
- NPI 1558313213
-
- Rural Health Clinic/Center
- Bluefield, VA
- NPI 1235446485
-
- Emergency Medicine Physician
- Oak Hill, WV
- NPI 1891075057
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Princeton, WV
- NPI 1558313213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470700800000",
"number": "1851572580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N JEFFERSON ST",
"address_2": "ROBERT C. BYRD CLINIC",
"city": "LEWISBURG",
"state": "WV",
"postal_code": "249011177",
"telephone_number": "304-645-3220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N JEFFERSON ST",
"address_2": "ROBERT C. BYRD CLINIC",
"city": "LEWISBURG",
"state": "WV",
"postal_code": "249011177",
"telephone_number": "304-645-3220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRARCA",
"first_name": "ROBERT",
"middle_name": "ALLAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-22",
"last_updated": "2016-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "2268",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WV",
"license": "2268",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewisburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.