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

Michael Petrides

Individual provider Nuclear Radiology Physician · NPI 1609221969

Michael Petrides is a Diagnostic Radiology in Philadelphia, Pennsylvania. Graduated from Medical University of South Carolina College of Medicine in 2016, 10 years ago. Practices with Pet-Ct Imaging at Swedish Cancer Institute LLC, a 14-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
10
Trained at
Medical University of South Carolina College of Medicine
Licensed in
PA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

3400 Spruce Street 1 Silverstein Ste 130
Philadelphia, PA 19104
Phone: (215) 662-6918
Fax: (215) 662-2664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nuclear Radiology Physician (primary) Taxonomy 2085N0904X · Licence MT223806 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1609221969
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 25, 2016
Last updated in NPPESJuly 29, 2021
Certification dateJuly 29, 2021

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Pet-Ct Imaging At Swedish Cancer Institute Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Philadelphia