TRISTAN D. PETRIE MD – NPI #1548604507
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Health Care Provider Taxonomy Code for Internal Medicine

TRISTAN PETRIE is a physician located in SYRACUSE, NY. NPPES has assigned the NPI number 1548604507 to TRISTAN PETRIE on April 22, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 5 years ago on Mar 12, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TRISTAN PETRIE below.

NPI Profile for
TRISTAN D. PETRIE

NPI Number
1548604507
Enumeration Date

(more than 13 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
TRISTAN D. PETRIE
Credentials
MD
Primary location
739 IRVING AVE STE 500
SYRACUSE, NY 13210-1664
Phone: (315) 470-7409 Fax: (315) 475-2357
Mailing address
1001 W FAYETTE ST STE 400
SYRACUSE, NY 13204-2866
Phone: (315) 937-3433 Fax: (315) 475-2357
Sole Proprietor
No
Updated
Certification Date
Mar 12, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)		 NY 285711

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
TRISTAN PETRIE is affiliated with the following medical group(s):
  • HOSPITAL
    • CROUSE HOSPITAL
      736 IRVING AVENUE
      SYRACUSE, NY 13210
    • OSWEGO HOSPITAL
      110 WEST SIXTH STREET
      OSWEGO, NY 13126
    • UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER
      750 EAST ADAMS STREET
      SYRACUSE, NY 13210

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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.