MICHAEL PETRUSCHAK (M.D.) – Diagnostic Radiology Physician, NPI 1053328658

MICHAEL PETRUSCHAK (M.D.) is a healthcare provider. based in Chesapeake, Virginia. specializing in Diagnostic Radiology Physician. They hold the professional credentials M.D.. They hold a License No. 0101237966 (VA). The NPI Number for MICHAEL PETRUSCHAK (M.D.) is 1053328658

Main info

Male
51 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL PETRUSCHAK (M.D.)
NPI
1053328658
Phone
(757) 366-0101
Address
PO BOX 1707
Enumeration Date
3 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
7573660101
Graduation Year
1975 (51 years ago)
PAC ID
2961454095
Group Practice PAC ID
4183619950
Professional Enrollment ID
I20050617000804
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MICHAEL PETRUSCHAK (M.D.)

  • Chesapeake Post Office, 4417, Portsmouth Boulevard, Jester Gardens, Western Branch, Chesapeake, Virginia, 23321, United States

    CHESAPEAKE, VA 233271707

    Phone: (757) 366-0101

    Fax: (757) 366-8792

    Type: Mailing

  • Chesapeake Regional Medical Center, 736, Battlefield Boulevard North, Knell's Ridge Square Shopping Center, Essex Meadows, Chesapeake, Virginia, 23320, United States

    CHESAPEAKE, VA 233204941

    Phone: (757) 312-8121

    Type: Location

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

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

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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 23327)

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Provider's Procedures

MICHAEL PETRUSCHAK (M.D.) performs procedures in Diagnostic Radiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYVA71250CT scan chest8079
DIAGNOSTIC RADIOLOGYVA73630X-ray of foot, minimum of 3 views4239
DIAGNOSTIC RADIOLOGYVA78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies6363

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: 4183619950View full group profile
NameSpecialtyState
DR. VICTORIA EDMOND-DAVIS (MD)
Diagnostic RadiologyOH
VICTOR D III LEWIS (M.D)
-VA

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Frequently asked questions

How is MICHAEL PETRUSCHAK (M.D.) identified in CMS data?
CMS-hosted NPPES data lists MICHAEL PETRUSCHAK (M.D.) with NPI 1053328658.
Can I rely on MICHAEL PETRUSCHAK (M.D.) being an active provider?
As of the registry snapshot, MICHAEL PETRUSCHAK (M.D.) is marked active.
What is MICHAEL PETRUSCHAK (M.D.)'s specialty?
The listing groups MICHAEL PETRUSCHAK (M.D.) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect MICHAEL PETRUSCHAK (M.D.) on a map?
Expect Chesapeake, Virginia as a primary anchor for MICHAEL PETRUSCHAK (M.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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