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

Michael Petry

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003270422

Michael Petry is a Family Practice in Crestwood, Kentucky. Graduated from University of Louisville School of Medicine in 2016, 10 years ago. Practices with Community Medical Associates Inc, a 1,365-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kentucky.

Years since qualifying
10
Trained at
University of Louisville School of Medicine
Licensed in
KY
In the registry since
2016
Specialties on file
2

Practice location Address checks out

6411 Veterans Memorial Pkwy
Crestwood, KY 40014-8698
Phone: (502) 241-8611
Fax: (502) 241-4175
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence R4220 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1003270422
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 12, 2016
Last updated in NPPESDecember 8, 2021
Certification dateDecember 8, 2021
Mailing addressPo Box 776351, Chicago, IL 60677-6351

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Community Medical Associates Inc — 1365 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Crestwood