Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Michael Petelis, DO

Individual provider Family Medicine Physician · NPI 1699861237

Dr. Michael Petelis, DO is an Internal Medicine in Mineola, New York. Qualified in 1997, 29 years ago. Practices with Li-Queens Medical Associates, PC, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
29
Licensed in
NY
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

300 Old Country Rd Ste 211
Mineola, NY 11501-4198
Phone: (516) 280-2599
Fax: (516) 280-2597
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 211294 (NY)

Record details

NPI number1699861237
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 4, 2006
Last updated in NPPESDecember 8, 2009
Mailing address300 Old Country Rd, Suite 211, Mineola, NY 11501-4198

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Li-Queens Medical Associates, Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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