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NPI · 1528068129 · NPPES-sourced

Dr. Mark Petroff M.D.

ActivePlastic Surgery Within the Head and Neck (Plastic Surgery) Physician
NPI Number
1528068129
Type 1 · Individual
Contact
(503) 635-4886
License OR · MD15996
Last Updated
About 3 years ago (Mar 2023)
Enumerated 2005-07-26
Primary practice addressOR · 97035-5394
17720 Jean Way, Suite100Lake Oswego, OR 97035-5394
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About this NPIWhat this record shows.

NPI 1528068129 is registered to Dr. Mark Petroff M.D., a Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician practising at 17720 Jean Way, Suite100 in Lake Oswego, Oregon. Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Mark Petroff M.D. has been enumerated in the National Provider Identifier (NPI) registry since 2005.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2005-07-26
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • MD15996OR· Issued by STATE LICENSE

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment 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 Dr. Mark Petroff M.D. accepts. To confirm in-network status with your specific health plan, contact Dr. Mark Petroff M.D. directly at (503) 635-4886.

Frequently asked

Yes. NPI 1528068129 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 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 (503) 635-4886.

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. Dr. Mark Petroff M.D. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy2082S0099X
Last updated2023-03
Enumerated2005-07-26
StatusActive
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