Individual provider Active NPI

Christopher D Petrus, MD

  • Urology Physician
  • Fairhope, AL
National Provider Identifier
1982667622
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
AL29300 Issued in AL
Practice address
8720 Fairhope Ave
Fairhope, AL 36532-3608
Phone
(251) 990-2241
Fax
(251) 990-2242
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X AL29300 AL Primary

Addresses

Primary practice location

8720 Fairhope Ave
Fairhope, AL 36532-3608

Mailing address

8720 Fairhope Ave
Fairhope, AL 36532-3608
Phone (251) 990-2241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20100629000694 AL Practitioner - Urology 6204909948

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.88 of 100Reported as group
Quality
77.29
Promoting interoperability
100
Improvement activities
40
Cost
78.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AL29300ALMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mount Urology Assoc PA Urology Current Accepting new patients

Locations

180 Foy Dr
Rocky Mount, NC 27804
Phone (252) 443-3136

Interoperability endpoints

  • Direct secure messaging: christopherpetrus@uam.allscriptsdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1982667622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8720 FAIRHOPE AVE",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323608",
            "telephone_number": "251-990-2241",
            "fax_number": "251-990-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 FAIRHOPE AVE",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323608",
            "telephone_number": "251-990-2241",
            "fax_number": "251-990-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRUS",
        "first_name": "CHRISTOPHER",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AL",
            "license": "AL29300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.