MARISA PARISE PETRUCELLI (D.O.) – Anesthesiology Physician, NPI 1043506637

MARISA PARISE PETRUCELLI (D.O.) is a healthcare provider. based in Fairfax, Virginia. specializing in ANESTHESIOLOGY. They hold the professional credentials D.O.. They hold a License No. OT014334 (PA). The NPI Number for MARISA PARISE PETRUCELLI (D.O.) is 1043506637

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MARISA PARISE PETRUCELLI (D.O.)
NPI
1043506637
Phone
(571) 777-5106
Address
11781 LEE JACKSON MEMORIAL HWY
Enumeration Date
22 June 2011
Last Update Date
7 August 2015

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9733832121
Graduation Year
2010 (16 years ago)
PAC ID
7214153113
Group Practice PAC ID
7315906591
Professional Enrollment ID
I20140730001031
Address ID
NJ078601004NE175XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,668 ANESTHESIOLOGY in NJ

Provider Addresses for MARISA PARISE PETRUCELLI (D.O.)

  • 11781 LEE JACKSON MEMORIAL HWY

    SUITE 550

    FAIRFAX, VA 220333309

    Phone: (571) 777-5106

    Fax: (703) 766-9725

    Type: Mailing

  • 175 HIGH ST

    NEWTON, NJ 078601004

    Phone: (973) 383-2121

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2017-06-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20140730001031IAnesthesiologyNJTBD
I20170608000373IAnesthesiologyPATBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope4241$0
01922Anesthesia for x-ray or radiation therapy2523$0
00811Anesthesia for other procedure on large bowel using an endoscope2525$0
00790Anesthesia for other procedure on upper abdomen1818$0
00812Anesthesia for exam of colon using an endoscope1616$0
View full utilization report →

Insurance plans in this area (ZIP 22033)

Loading plans...

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: 7315906591View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YNJ
A N E S T H E S I O L O G YNJ
A N E S T H E S I O L O G YNJ
A N E S T H E S I O L O G YNJ
A N E S T H E S I O L O G YNY
-NJ
Certified Registered Nurse Anesthetist (Crna)NJ
A N E S T H E S I O L O G YNJ
A N E S T H E S I O L O G YNJ
A N E S T H E S I O L O G YNJ

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for MARISA PARISE PETRUCELLI (D.O.)?
The registry entry for MARISA PARISE PETRUCELLI (D.O.) shows NPI 1043506637.
Is MARISA PARISE PETRUCELLI (D.O.) currently accepting referrals based on NPI status?
Registry metadata lists MARISA PARISE PETRUCELLI (D.O.) as active.
What type of care does MARISA PARISE PETRUCELLI (D.O.) provide?
MARISA PARISE PETRUCELLI (D.O.)'s profile centers on Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Is MARISA PARISE PETRUCELLI (D.O.) tied to Fairfax, Virginia?
If you are local to Fairfax, Virginia, MARISA PARISE PETRUCELLI (D.O.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

Similar Providers

SANDHYA R MAKKAPATI (M.D.)

Anesthesiology Physician
Fair Ridge Drive, Fair Ridge, Pender, Chantilly, Fairfax (city), Virginia, 22035, United States of America
NPI: 1780687806

DAVID M RICHLIN (M.D.)

Anesthesiology Physician
Lee Jackson Memorial Highway, Fairchester, Fairfax, Fairfax (city), Virginia, 22030, United States
NPI: 1093718934

DR. ALAN M BOLASH (MD)

Anesthesiology Physician
Fair Ridge Drive, Fair Ridge, Pender, Chantilly, Fairfax (city), Virginia, 22035, United States
NPI: 1639171994
3998, Fair Ridge Drive, Pender, Chantilly, Fairfax (city), Virginia, 22033, United States
NPI: 1184629511

SHUAIB AKHTAR (MD)

Anesthesiology Physician
3998, Fair Ridge Drive, Pender, Chantilly, Fairfax (city), Virginia, 22033, United States
NPI: 1639174030
3998, Fair Ridge Drive, Pender, Chantilly, Fairfax (city), Virginia, 22033, United States
NPI: 1649275942
Fair Ridge Drive, Fair Ridge, Pender, Chantilly, Fairfax (city), Virginia, 22035, United States
NPI: 1326044272

MARIA ZAPANTIS (M.D.)

Anesthesiology Physician
3998, Fair Ridge Drive, Pender, Chantilly, Fairfax (city), Virginia, 22033, United States
NPI: 1407852320

NICHOLAS PATCHAN (M.D.)

Anesthesiology Physician
Lee Jackson Memorial Highway, Fairchester, Fairfax, Fairfax (city), Virginia, 22030, United States
NPI: 1154327724