DR. RICHARD A PETRAK (M.D.) – Pulmonary Disease Physician, NPI 1891708608

DR. RICHARD A PETRAK (M.D.) is a healthcare provider. based in Berwyn, Illinois. specializing in Pulmonary Disease Physician. They hold the professional credentials M.D.. They hold a License No. 036072033 (IL). The NPI Number for DR. RICHARD A PETRAK (M.D.) is 1891708608

Main info

Male
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. RICHARD A PETRAK (M.D.)
NPI
1891708608
Phone
(708) 783-2644
Address
3231 EUCLID AVE
Enumeration Date
14 August 2006
Last Update Date
1 March 2011

Doctor Profile

Medical School Name
R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Secondary Phone
6302864220
Graduation Year
1984 (42 years ago)
PAC ID
9032175286
Group Practice PAC ID
2961459565
Professional Enrollment ID
I20041208001177
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. RICHARD A PETRAK (M.D.)

  • Euclid Avenue, Berwyn, Cook County, Illinois, 60402, United States of America

    SUITE 405

    BERWYN, IL 604023471

    Phone: (708) 783-2644

    Fax: (708) 783-3973

    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: 2004-12-08

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
I20041208001177IPulmonary DiseaseILTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes15851$0
94003Follow-up inpatient or observation ventilation assistance and management7615$0
View full utilization report →

Insurance plans in this area (ZIP 60402)

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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: 2961459565View full group profile
NameSpecialtyState
Pulmonary Disease, Internal MedicineIL
Pulmonary Disease, Critical Care (Intensivists), Hospice/Palliative Care, Internal MedicineIL
Critical Care (Intensivists), Pulmonary DiseaseIL
-IL
Pulmonary Disease, Internal Medicine, Critical Care (Intensivists)IL
Clinical PsychologistIL
Internal MedicineIL
-IL
Internal MedicineIL
Physical Medicine And RehabilitationIL

Reviews

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Frequently asked questions

Can I use this page to confirm DR. RICHARD A PETRAK (M.D.)'s NPI?
Yes. DR. RICHARD A PETRAK (M.D.) is listed with NPI 1891708608 in the public NPI dataset.
Is DR. RICHARD A PETRAK (M.D.) still practicing?
DR. RICHARD A PETRAK (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. RICHARD A PETRAK (M.D.)?
For research purposes, treat DR. RICHARD A PETRAK (M.D.) as Pulmonary Disease Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. RICHARD A PETRAK (M.D.) serve?
DR. RICHARD A PETRAK (M.D.)'s listing highlights Berwyn, Illinois; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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