Channing Petrak, MD

ActiveIndividual ProviderPediatrics
NPI issued: March 16, 2006

Quick Facts

NPI Number
1952370538
TypeIndividual
StatusActive
SpecialtyPediatrics
Taxonomy208000000X — Pediatrics
Phone
(309) 624-9587
StateIL

NPI Validation Status: Verified

Valid 10-digit NPI number (1952370538)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (March 16, 2006)
Data source: CMS NPPES

Provider Overview

CHANNING PETRAK, MD is a Pediatrics provider based in Peoria, IL who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1952370538
Provider TypeIndividual Provider
GenderFemale
CredentialMD
StatusActive
Enumeration DateMarch 16, 2006

Practice Location

CityPeoria
StateIL
ZIP Code61603
Phone(309) 624-9587

Specialties & Licenses

★ Primary
SpecialtyPediatrics
Taxonomy Code208000000X
License StateIL

Mailing Address

CityPeoria
StateIL
ZIP Code61603
Phone(309) 624-9587
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1952370538 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1952370538for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

👤

For Patients

Share NPI 1952370538 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Pediatrics

Pediatricians specialize in the physical, emotional, and social health of infants, children, adolescents, and young adults, providing preventative care and treating childhood illnesses.

📊
94,303
Pediatrics Providers in the US

Similar Providers in Peoria

Agnes Lardizabal, M.D

📍 Peoria, AZ 85381-5049

Madhura Bhuskute, M.D

📍 Peoria, AZ 85381-5049

Jeffrey Maxcy, M.D

📍 Peoria, AZ 85381-5049

Macelle Neuwirth, M.D

📍 Peoria, AZ 85381-5049

Sandhya Ravi, MD

📍 Peoria, AZ 85382-8336

Lori Simenauer, M.D

📍 Peoria, IL 61603-3105

Other Healthcare Providers in Peoria

Pedro De Alarcon, MD

Specialty not listed

Parmjeet Banghar, M.D

Hematology & Oncology

Ian Hover, PT, MPT

Physical Therapy

Family Medical Equipment And Supply Inc

Specialty not listed

The Plaid Daisy Inc

Specialty not listed

Bradford Colen, MD

Psychiatry

People Also Ask

What is Channing Petrak's NPI number?
Channing Petrak's NPI number is 1952370538, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Channing Petrak's NPI currently active?
Yes, Channing Petrak's NPI status is Active as of the latest CMS NPPES database updates.
What does Channing Petrak specialize in?
Channing Petrak specializes in Pediatrics. The healthcare taxonomy code associated with this specialty is 208000000X.
Where does Channing Petrak practice?
Channing Petrak practices in Peoria, IL 61603.
When was Channing Petrak's NPI issued?
Channing Petrak's NPI was issued on March 16, 2006.
What is Channing Petrak's provider type?
Channing Petrak is registered as an Individual Provider under CMS NPI Type 1.