Individual provider Active NPI

Peter Ming Szeto, MD

  • Cardiovascular Disease Physician
  • Gadsden, AL
National Provider Identifier
1003862889
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
00017860 Issued in AL
Practice address
1102 Goodyear Ave
Gadsden, AL 35903-2008
Phone
(256) 492-9924
Fax
(256) 492-9965
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 00017860 AL Primary

Addresses

Primary practice location

1102 Goodyear Ave
Gadsden, AL 35903-2008

Mailing address

1102 Goodyear Ave
Gadsden, AL 35903-2008
Phone (256) 492-9924

Other identifiers 1

IdentifierTypeStateIssuer
000029906MedicaidAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alcv@195.direct.myezyaccess.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100617000436 AL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0648230128 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17860ALMDPharmacist
00017860ALMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Cardiovascular Specialists LLC Cardiovascular Disease CurrentSince Sep 22, 2021 Accepting new patients

Locations

1102 Goodyear Ave
Gadsden, AL 35903
Phone (256) 492-6505

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

7063 Veterans Pkwy
Pell City, AL 35125
Phone (205) 338-3301

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1003862889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 GOODYEAR AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359032008",
            "telephone_number": "256-492-9924",
            "fax_number": "256-492-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 GOODYEAR AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359032008",
            "telephone_number": "256-492-9924",
            "fax_number": "256-492-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZETO",
        "first_name": "PETER",
        "middle_name": "MING",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "00017860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000029906",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alcv@195.direct.myezyaccess.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1102 Goodyear Ave",
            "city": "Gadsden",
            "state": "AL",
            "country_code": "US",
            "postal_code": "359032008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.