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

Dragan S Petakov, MD

Individual provider Internal Medicine Physician · NPI 1629030622

Dragan S Petakov, MD is an Internal Medicine in Lowell, Massachusetts. Qualified in 1990, 36 years ago. Practices with Riverside Medical Group PC, a 12-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
36
Licensed in
MA
In the registry since
2006
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

275 Varnum Ave Ste 201
Lowell, MA 01854
Phone: (978) 452-9700
Fax: (978) 441-6075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 157347 (MA)

Record details

NPI number1629030622
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2006
Last updated in NPPESMay 16, 2008
Mailing address275 Varnum Ave, Ste 201, Lowell, MA 01854

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Riverside Medical Group Pc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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