DR. JOSEPH B PETELIN (M.D.) – Surgery Physician, NPI 1982658639

DR. JOSEPH B PETELIN (M.D.) is a healthcare provider. based in Shawnee mission, Kansas. specializing in Surgery Physician. They hold the professional credentials M.D.. They hold a License No. 4-17417 (KS). The NPI Number for DR. JOSEPH B PETELIN (M.D.) is 1982658639

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOSEPH B PETELIN (M.D.)
NPI
1982658639
Phone
(913) 432-5420
Address
9119 W 74TH ST
Enumeration Date
19 May 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
-
Graduation Year
1976 (50 years ago)
PAC ID
9830003276
Professional Enrollment ID
I20100916000245
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

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Provider Addresses for DR. JOSEPH B PETELIN (M.D.)

  • 9119, West 74th Street, Overland Park, Johnson County, Kansas, 66204, United States

    SUITE 255

    SHAWNEE MISSION, KS 662042236

    Phone: (913) 432-5420

    Fax: (913) 432-7749

    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)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66204)

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Reviews

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Frequently asked questions

How do I look up DR. JOSEPH B PETELIN (M.D.) by NPI?
Use NPI 1982658639 when you need to reference DR. JOSEPH B PETELIN (M.D.) in forms, claims, or directories.
Is DR. JOSEPH B PETELIN (M.D.) active in the national directory?
DR. JOSEPH B PETELIN (M.D.)'s public NPI profile is in an active state.
What field does DR. JOSEPH B PETELIN (M.D.) work in?
You can think of DR. JOSEPH B PETELIN (M.D.) as practicing within Surgery Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. JOSEPH B PETELIN (M.D.)?
The page summarizes Shawnee Mission, Kansas for DR. JOSEPH B PETELIN (M.D.); expand the address list for detail.
What if Shawnee Mission, Kansas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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