Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Tristan Donald Petrie, MD

Individual provider Cardiovascular Disease Physician · NPI 1548604507

Dr. Tristan Donald Petrie, MD is an Internal Medicine in Syracuse, New York. Qualified in 2013, 13 years ago. Practices with Crouse Medical Practice PLLC, a 189-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
13
Licensed in
NY
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

739 Irving Ave Ste 500
Syracuse, NY 13210-1664
Phone: (315) 470-7409
Fax: (315) 475-2357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 285711 (NY)

Record details

NPI number1548604507
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 22, 2013
Last updated in NPPESMarch 12, 2021
Certification dateMarch 12, 2021

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Crouse Medical Practice Pllc — 189 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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