Individual provider Active NPI

Mircea M Petrina, MD

  • Cardiovascular Disease Physician
  • Thornton, CO
National Provider Identifier
1861624009
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
47911 Issued in CO
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
17279275MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MT, MI3 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 3

Enrollment IDStateProvider typePAC IDDetails
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 LLC 109 clinicians
Abc Heart Health LLC 3 clinicians

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 Hospital, Butte, MT, CCN 270017
  • HCA-Healthone Dba Swedish Medical Center Hospital, Englewood, CO, CCN 060034
  • St. Patrick Hospital Hospital, Missoula, MT, CCN 270014

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
82.67
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
47911COMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Dec 31, 2024 Accepting new patients
SCL Health Medical Group-Butte LLC Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
Abc Heart Health LLC CurrentSince Sep 1, 2024 Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Dec 31, 2024 Accepting new patients
Lakeland Medical Practices CurrentSince Dec 31, 2024 Accepting new patients
SCL Health Medical Group-Butte LLC Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
Abc Heart Health LLC CurrentSince Sep 1, 2024 Accepting new patients
Lakeland Medical Practices CurrentSince Dec 31, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.