DR. ALBERT THADDEUS PETROSINO (M.D.) – Internal Medicine Physician, NPI 1386641561

DR. ALBERT THADDEUS PETROSINO (M.D.) is a healthcare provider. based in Bradenton, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME67012 (FL). The NPI Number for DR. ALBERT THADDEUS PETROSINO (M.D.) is 1386641561

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALBERT THADDEUS PETROSINO (M.D.)
NPI
1386641561
Phone
(941) 794-5732
Address
2902 59TH ST W STE E
Enumeration Date
4 July 2005
Last Update Date
27 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9417945732
Graduation Year
1987 (39 years ago)
PAC ID
5890823157
Group Practice PAC ID
2567590995
Professional Enrollment ID
I20100506000909
Address ID
FL342097021BR2902XWXXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

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Provider Addresses for DR. ALBERT THADDEUS PETROSINO (M.D.)

  • 59th Street West, Bradenton, Manatee County, Florida, 34209, United States

    BRADENTON, FL 342097021

    Phone: (941) 794-5732

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-05-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100506000909IInternal MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes14944$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1818$0
90756Influenza vaccine, quadrivalent derived from cell cultures1212$0
G0008Administration of influenza virus vaccine1212$0
View full utilization report →

Insurance plans in this area (ZIP 34209)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567590995View full group profile
NameSpecialtyState
Internal MedicineFL

Reviews

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Frequently asked questions

What identifier follows DR. ALBERT THADDEUS PETROSINO (M.D.) across health systems?
The NPI 1386641561 uniquely identifies DR. ALBERT THADDEUS PETROSINO (M.D.) in U.S. healthcare data.
Is DR. ALBERT THADDEUS PETROSINO (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. ALBERT THADDEUS PETROSINO (M.D.) as active.
What type of care does DR. ALBERT THADDEUS PETROSINO (M.D.) provide?
DR. ALBERT THADDEUS PETROSINO (M.D.)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. ALBERT THADDEUS PETROSINO (M.D.)?
DR. ALBERT THADDEUS PETROSINO (M.D.) shows a connection to Bradenton, Florida in registry-derived data.
Can I export DR. ALBERT THADDEUS PETROSINO (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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