Individual Healthcare Provider
Nina Petrosyan, MD
Provider's NPPES record last updated: August 30, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1225667736
- Primary Specialty
- Family Medicine
- Practice Location
- Libby, Montana
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 12:00 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Family Medicine
Allopathic & Osteopathic Physicians
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Taxonomy code 207Q00000X Student in an Organized Health Care Education/Training Program
Student, Health Care
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Taxonomy code 390200000X
Provider-Reported License Information
- Family Medicine (Montana)
- 142023
- Student in an Organized Health Care Education/Training Program (Colorado)
- TL.0008739
Practice Locations
Practice Location
320 E 2nd St
Libby, Montana 59923-2010
Phone: (406) 283-6900
Additional Practice Location
Office of Student Affairs 1975 Zonal Ave
Los Angeles, California 90089-0001
Phone: (323) 442-2553
Fax: (323) 442-2663
Additional Practice Location
1600 23rd Ave
Greeley, Colorado 80634-6070
Phone: (970) 810-2815
Record Information
- Enumeration Date
- April 6, 2020
- Provider's NPPES Record Last Updated
- August 30, 2024
- Certification Date
- August 30, 2024
- NPISignal NPPES Dataset
- August 2026
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