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NPI · 1427402627 · NPPES-sourced

Shannon Petukhov MD

ActiveEmergency Medicine
NPI Number
1427402627
Type 1 · Individual
Taxonomy Code
207P00000X
Contact
(443) 481-1366
License MD · D0087812
Last Updated
Enumerated
Primary practice addressMD · 21401-3773
2001 Medical PkwyAnnapolis, MD 21401-3773
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About this NPIWhat this record shows.

NPI 1427402627 is registered to Shannon Petukhov MD, a Emergency Medicine practising at 2001 Medical Pkwy in Annapolis, Maryland. Emergency Medicine is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Shannon Petukhov MD has been enumerated in the National Provider Identifier (NPI) registry since 2016.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Shannon Petukhov MD accepts. To confirm in-network status with your specific health plan, contact Shannon Petukhov MD directly at (443) 481-1366.

Frequently asked

Yes. NPI 1427402627 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Emergency Medicine is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (443) 481-1366.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Shannon Petukhov MD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207P00000X
Last updated
Enumerated
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Emergency Medicine providers in Maryland.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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