DR. MARIJA PETROVIC (M.D.) – Psychiatry Physician, NPI 1013081835
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. MARIJA PETROVIC (M.D.)
8001, State Road, Philadelphia, Philadelphia County, Pennsylvania, 19136, United States
PHILADELPHIA, PA 191362908
Phone: (267) 918-1218
Type: Location
The Lofts at Logan View, 1666, Callowhill Street, Logan Square, North Philadelphia, Philadelphia, Philadelphia County, Pennsylvania, 19103, United States
APT 5A
PHILADELPHIA, PA 191304117
Phone: (215) 561-1641
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $599.
Total Amount is formed as General ($599) + Research ($0) + Ownership ($0) = $599.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Shockwave Medical, Inc ($227).
Total Amount
$599
General + Research + Ownership
Payments
10
Total payment records
General Amount
$599
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Shockwave Medical, Inc | $227 |
| Abbott Laboratories | $158 |
| Astellas Pharma US Inc | $100 |
| AngioDynamics, Inc. | $32 |
| Terumo Medical Corporation | $28 |
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: 2014-04-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140414001235 | I | Psychiatry | CA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19136)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | CA | |
| P S Y C H I A T R Y | CA | |
| P S Y C H I A T R Y | CA | |
| Marriage And Family Therapist | CA | |
| P S Y C H I A T R Y | CA | |
| P S Y C H I A T R Y | CA | |
| Marriage And Family Therapist | CA | |
| Clinical Social Worker | CA | |
| Marriage And Family Therapist | CA | |
| P S Y C H I A T R Y | NV |
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