Active NPI
Mircea M Petrina, MD
- Cardiovascular Disease Physician
- Thornton, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 47911
- Practice address
- 9141 Grant St Ste 140
Thornton, CO 80229-4367 - Phone
- (303) 252-0104
- Fax
- (303) 867-2776
- NPI assigned
- Aug 21, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 47911 | CO | Primary |
Addresses
Primary practice location
9141 Grant St Ste 140
Thornton, CO 80229-4367
Mailing address
4900 S Monaco St Ste 210
Denver, CO 80237-3487
Phone (303) 252-0104
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17279275 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, MT, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100514000162 | CO | Practitioner - Cardiovascular Disease (Cardiology) | 9638207442 | Reassigns benefits to 1 organization |
| I20250102002506 | MT | Practitioner - Cardiovascular Disease (Cardiology) | 9638207442 | Reassigns benefits to 1 organization |
| I20250102003585 | MI | Practitioner - Cardiovascular Disease (Cardiology) | 9638207442 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- SCL Health Medical Group-Butte LLCAbc Heart Health LLC
Practice addresses (Care Compare)
400 S Clark St
Butte, MT 59701-2328
Phone (406) 495-7260
401 W Hampden PL
Suite 260
Englewood, CO 80110-2471
Phone (303) 789-1400
Hospital & facility affiliations
- St James Hospital
- HCA-Healthone Dba Swedish Medical Center
- St. Patrick Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 82.67
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47911 | CO | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| SCL Health Medical Group-Butte LLC | Family Medicine | Current | Accepting new patients |
| Abc Heart Health LLC | Current | Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients | |
| SCL Health Medical Group-Butte LLC | Family Medicine | Current | Accepting new patients |
| Abc Heart Health LLC | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients |
Locations
401 W Hampden Pl
Ste 260
Englewood, CO 80110
Phone (303) 761-5454
3624 E Highlands Ranch Pkwy
Unit 103
Highlands Ranch, CO 80126
Phone (303) 789-1400
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
3950 Hollywood Rd
Ste 110
Saint Joseph, MI 49085
Phone (269) 985-1000
3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990
400 S Clark St
Butte, MT 59701
Phone (406) 495-7260
Interoperability endpoints
- mircea.petrina.1@30163.direct.athenahealth.com
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Butte, MT
- NPI 1477869600
Family Medicine, MT
-
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
MI
-
- Rural Health Clinic/Center
- Boulder, MT
- NPI 1861031122
Family Medicine
-
- Durable Medical Equipment & Medical Supplies
- Butte, MT
- NPI 1316535032
-
- Multi-Specialty Clinic/Center
- Highlands Ranch, CO
- NPI 1467293647
-
- Community Health Clinic/Center
- Saint Joseph, MI
- NPI 1184513731
-
- Internal Medicine Physician
- Bridgman, MI
- NPI 1568232247
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Anatomic Pathology & Clinical Pathology Physician
- Missoula, MT
- NPI 1366185928
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1861624009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 S MONACO ST STE 210",
"city": "DENVER",
"state": "CO",
"postal_code": "802373487",
"telephone_number": "303-252-0104",
"fax_number": "303-867-2776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9141 GRANT ST STE 140",
"city": "THORNTON",
"state": "CO",
"postal_code": "802294367",
"telephone_number": "303-252-0104",
"fax_number": "303-867-2776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRINA",
"first_name": "MIRCEA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CO",
"license": "47911",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "17279275",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.
- 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.