ALEXANDRE A. PETRAKIAN MD – NPI #1811987654
Internal Medicine

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

Health Care Provider Taxonomy Code for Internal Medicine

ALEXANDRE PETRAKIAN is a physician located in TYLER, TX. NPPES has assigned the NPI number 1811987654 to ALEXANDRE PETRAKIAN on October 24, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0001X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Clinical Cardiac Electrophysiology

The NPI profile was previously updated about 3 years ago on Feb 10, 2023. 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 ALEXANDRE PETRAKIAN below.

NPI Profile for
ALEXANDRE A. PETRAKIAN

NPI Number
1811987654
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ALEXANDRE A. PETRAKIAN
Credentials
MD
Primary location
1783 TROUP HWY
TYLER, TX 75701
Phone: (903) 595-2283 Fax: (903) 595-1063
3 Other location(s):
1505 State Highway 19 S
Athens, TX 75751-8950
Phone: (903) 675-6800
1108 S Buffalo St
Canton, TX 75103-2304
Phone: (903) 595-2283
126 W Main St Ste C
Gun Barrel City, TX 75156-5404
Phone: (903) 595-2283
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Feb 10, 2023

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.

Identifiers

Identifiers for ALEXANDRE PETRAKIAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherBCBS OF TEXASTX87792Y
otherRAILROAD MEDICARETX060060260
otherSMITH COUNTY INDIGENTTX045057901
medicaidLA1776521
medicaidTX045057901
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
207RC0001X
- Internal Medicine / Clinical Cardiac Electrophysiology (Primary)		 TX K6234
207RI0011X
- Internal Medicine / Interventional Cardiology		 TX K6234
207RC0000X
- Internal Medicine / Cardiovascular Disease		 TX K6234
207R00000X
- Internal Medicine		 TX K6234

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
ALEXANDRE PETRAKIAN is affiliated with the following medical group(s):
  • HOSPITAL
    • CHRISTUS MOTHER FRANCES HOSPITAL
      800 EAST DAWSON
      TYLER, TX 75701
    • CHRISTUS MOTHER FRANCES HOSPITAL- WINNSBORO
      719 WEST COKE ROAD
      WINNSBORO, TX 75494
    • UT HEALTH EAST TEXAS HENDERSON HOSPITAL
      300 WILSON STREET
      HENDERSON, TX 75652
    • UT HEALTH EAST TEXAS TYLER REGIONAL HOSPITAL
      1000 SOUTH BECKHAM AVE
      TYLER, TX 75701

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
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.