Ivan Petrich, DO
NPI 1639527096 · Family Medicine Physician · Mountain Home Afb, ID
Enrolled with Medicare as Order and Referring Only - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ivan Petrich, DO is a Family Medicine Physician provider in Mountain Home Afb, ID (NPI 1639527096).
Provider details
- NPI number
- 1639527096
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 2019-01392 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-05-26
- Last updated
- 2025-09-12
- Certified
- 2025-09-12
Frequently asked questions
- What is Ivan Petrich's NPI number?
- Ivan Petrich's National Provider Identifier (NPI) is 1639527096, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ivan Petrich's specialty?
- Ivan Petrich is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ivan Petrich located?
- Ivan Petrich's practice location on file with NPPES is 90 Hope Dr, Mountain Home Afb, ID 83648-1057.
- What is Ivan Petrich's phone number?
- The practice phone number listed in the NPPES registry for Ivan Petrich is (208) 828-7900.
- Does Ivan Petrich accept Medicare?
- Ivan Petrich is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ivan Petrich's NPI active?
- Yes — Ivan Petrich's NPI (1639527096) is active in the NPPES registry as of the last update on 2025-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.