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Deactivated NPI 1760469456 Deactivated / Inactive NPI Male Practitioner

Dr. Dimitri Michael Petro , MD

General Practice • Donora, PA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Dimitri Petro has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 23, 2005
NPI Deactivation Date June 11, 2026
Total Practice Duration ~21 Years of Practice (2005 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Dimitri Petro, MD was a registered General Practice practicing in Donora, PA. Throughout an active medical career spanning 21 years, Dr. Petro provided care at the practice location at 718 MCKEAN AVE until profile deactivation on 2026-06-11.

Historical Medicare Part B clinical services included established patient outpatient office visit, vaccine for influenza for injection into muscle, administration of influenza virus vaccine. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

718 Mckean Ave

Donora, PA 150331061

Telephone 7243794401
Fax 7243794568
Associated Practice Facility / Clinic
🏢 Centerville Clinics Inc Facility NPI 1164064002

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Donora, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 29.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Donora, PA (434 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
24.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
118 54 $90.00 $72.57
90756 Vaccine for influenza for injection into muscle
21 21 $34.29 $25.95
G0008 Administration of influenza virus vaccine
21 21 $25.00 $15.95
99238 Hospital discharge day management, 30 minutes or less
19 11 $97.89 $72.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
14 11 $140.00 $106.32

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License PA MD027877L

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Al Mamaril , DO

Family Medicine

NPI 1497246342

Doctor of Osteopathic Medicine (D.O.)

Kimberly Hvozdik , FNP-C

Nurse Practitioner - Family

NPI 1922845395

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 11, 2026

Record deactivated on June 11, 2026

NPI Profile Active January 06, 2010

NPI status registered as active in NPPES database

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Updated Practice Location January 06, 2010

Registered at 718 MCKEAN AVE, DONORA, PA 150331061 (Tel: 7243794401)

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Updated Business Mailing Address January 06, 2010

Registered at 718 MCKEAN AVE, DONORA, PA 150331061 (Tel: 7243794401)

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Provider Name / Credentials Updated January 06, 2010

Recorded as DIMITRI PETRO, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2010

General Practice (License #MD027877L in PA)

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Initial NPI Registration & Enumeration December 23, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760469456
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 23, 2005
Last Update: January 06, 2010
Deactivation Date: June 11, 2026

Mailing Address

718 Mckean Ave

Donora, PA 150331061

Phone: 7243794401

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.