Robert T Petruzzo Jr, DO - Medicare Diagnostic Radiology in San Diego, CA

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Robert T Petruzzo Jr, DO is a medicare enrolled "Radiology - Body Imaging" physician in San Diego, California. He graduated from medical school in 1975 and has 51 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Sol Radiology Inc, Krishna Das Md Inc, Rahul Nayyar Md Inc and his current practice location is 4405 Vandever Ave, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 528-5000.

Robert T Petruzzo Jr is licensed to practice in California (license number 20A4255) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578615936.

Contact Information

Robert T Petruzzo Jr, DO
4405 Vandever Ave,
San Diego, CA 92120-3315
(619) 528-5000
Not Available

Map and Direction




Physician's Profile

Full NameRobert T Petruzzo Jr
GenderMale
SpecialityDiagnostic Radiology
Experience51 Years
Location4405 Vandever Ave, San Diego, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Robert T Petruzzo Jr graduated from medical school in 1975
  NPI Data:
  • NPI Number: 1578615936
  • Provider Enumeration Date: 01/17/2007
  • Last Update Date: 04/28/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 7012943681
  • Enrollment ID: I20050714000669

Medical Identifiers

Medical identifiers for Robert T Petruzzo Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578615936NPI-NPPES
00AX42550MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085B0100XRadiology - Body Imaging 20A4255 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Desert Valley HospitalVictorville, CAHospital
Shasta Regional Medical CenterRedding, CAHospital
Mad River Community HospitalArcata, CAHospital
Chino Valley Medical CenterChino, CAHospital
Barstow Community HospitalBarstow, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sol Radiology Inc185079668184
Krishna Das Md Inc397194047917
Rahul Nayyar Md Inc56981113187

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Robert T Petruzzo Jr allows following entities to bill medicare on his behalf.
Entity NameRadadvantage A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376719666
PECOS PAC ID: 2163597899
Enrollment ID: O20090917000455
Entity NameCity Of Hope Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871886366
PECOS PAC ID: 3779751656
Enrollment ID: O20110720000244
Entity NameApex Radiology Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750650982
PECOS PAC ID: 7719140680
Enrollment ID: O20120514000416
Entity NameRadiology Physician Solutions Of Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356767651
PECOS PAC ID: 3870716731
Enrollment ID: O20180209001743
Entity NameSeven Star Hospital Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043813140
PECOS PAC ID: 4789083338
Enrollment ID: O20210601002852
Entity NameSol Radiology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457928111
PECOS PAC ID: 1850796681
Enrollment ID: O20210817002978
Entity NameRahul Nayyar Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518729516
PECOS PAC ID: 5698111318
Enrollment ID: O20240315001720
Entity NameKrishna Das Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164284196
PECOS PAC ID: 3971940479
Enrollment ID: O20240320000354
Entity NameMegha Nayyar Gupta Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669234670
PECOS PAC ID: 2062859887
Enrollment ID: O20240328000422

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Robert T Petruzzo Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Robert T Petruzzo Jr, DO
1153 Pine Dr,
El Cajon, CA 92020-7248

Ph: (000) 000-0000		Robert T Petruzzo Jr, DO
4405 Vandever Ave,
San Diego, CA 92120-3315

Ph: (619) 528-5000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.