ANGELO A PETROPOLIS (MD) – Dermatology Physician, NPI 1457391732

ANGELO A PETROPOLIS (MD) is a healthcare provider. based in Austin, Texas. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 22192 (AZ). The NPI Number for ANGELO A PETROPOLIS (MD) is 1457391732

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
ANGELO A PETROPOLIS (MD)
NPI
1457391732
Phone
(512) 628-0465
Address
7300 RANCH ROAD 2222, BUILDING 1, STE 200
Enumeration Date
7 June 2006
Last Update Date
20 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Secondary Phone
5204581505
Graduation Year
1985 (41 years ago)
PAC ID
4587562095
Group Practice PAC ID
9830181361
Professional Enrollment ID
I20040618000774
Address ID
AZ856354614SI1916XLUIS400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

366 DERMATOLOGY in AZ

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Provider Addresses for ANGELO A PETROPOLIS (MD)

  • 7300 RANCH ROAD 2222, BUILDING 1, STE 200

    AUSTIN, TX 78730

    Phone: (512) 628-0465

    Type: Mailing

  • 1916, Paseo San Luis, Foothills Plaza, Sierra Vista, Cochise County, Arizona, 85635, United States

    SIERRA VISTA, AZ 85635

    Phone: (520) 458-1505

    Fax: (520) 458-6949

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $429.

Total Amount is formed as General ($429) + Research ($0) + Ownership ($0) = $429.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($80).

Total Amount

$429

General + Research + Ownership

Payments

20

Total payment records

General Amount

$429

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2004-06-18

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
I20040618000774IDermatologyAZTBD

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
17003Destruction of precancer skin growth, 2-14 growths1,518334$0
99213Established patient office or other outpatient visit, 20-29 minutes1,023742$0
17000Destruction of precancer skin growth, 1 growth549434$0
11102Biopsy of related skin growth, first growth316259$0
99212Established patient office or other outpatient visit, 10-19 minutes286215$0
View full utilization report →

Insurance plans in this area (ZIP 78730)

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Provider's Procedures

ANGELO A PETROPOLIS (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYAZ11101Biopsy of each additional growth of skin and/or tissue164117
DERMATOLOGYAZ17003Destruction of 2-14 skin growths2757500

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: 9830181361View full group profile
NameSpecialtyState
D E R M A T O L O G YAZ
Physician AssistantAZ
-AZ
Nurse PractitionerTX
-AZ
Physician AssistantAZ
D E R M A T O L O G YAZ
D E R M A T O L O G YAZ
Physician AssistantTX
D E R M A T O L O G YAZ

Reviews

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Frequently asked questions

Is ANGELO A PETROPOLIS (MD) listed with a National Provider Identifier?
Yes — ANGELO A PETROPOLIS (MD) has NPI 1457391732 on file in the registry.
Active or inactive — what applies to ANGELO A PETROPOLIS (MD)?
You should see ANGELO A PETROPOLIS (MD) as active in CMS-hosted NPPES data.
What kind of doctor is ANGELO A PETROPOLIS (MD)?
ANGELO A PETROPOLIS (MD) is associated with Dermatology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is ANGELO A PETROPOLIS (MD) located near Austin?
ANGELO A PETROPOLIS (MD) currently maps to Austin, Texas in this extract.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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