Active NPI
Peter Ehren Sterbutzel, DO
- Obstetrics & Gynecology Physician
- Highland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 20A15614
- Practice address
- 4240 Highland Ave
Highland, CA 92346-2764 - Phone
- (909) 864-4700
- Fax
- (909) 864-4300
- NPI assigned
- Jun 19, 2013
- Last updated
- Jul 21, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 274346-216 | NY | |
| Obstetrics & Gynecology Physician | 207V00000X | 20A15614 | CA | Primary |
Addresses
Primary practice location
4240 Highland Ave
Highland, CA 92346-2764
Mailing address
3400 Data Dr
Rancho Cordova, CA 95670-7956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
971 Montauk Hwy
Oakdale, NY 11769-1434
Phone (631) 589-4344
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A15614 | CA | MD | Obstetrics & Gynecology Physician |
| 274346-216 | NY | MD | Obstetrics & Gynecology Physician |
| 15614 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Obhg California, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| South Shore University Hospital | Past | Accepting new patients | |
| San Bernardino Medical Group Inc | Past | Accepting new patients |
Locations
350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500
300 Community Dr
Manhasset, NY 11030
971 Montauk Hwy
Oakdale, NY 11769
Phone (631) 589-4344
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- petersterbutzel@nslijmedgr.allscriptsdirect.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
Obstetrics & Gynecology
-
- Clinic/Center
- San Bernardino, CA
- NPI 1558331231
-
- General Acute Care Hospital
- Bay Shore, NY
- NPI 1457369381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500595200000",
"number": "1013356336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DATA DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4240 HIGHLAND AVE",
"city": "HIGHLAND",
"state": "CA",
"postal_code": "923462764",
"telephone_number": "909-864-4700",
"fax_number": "909-864-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERBUTZEL",
"first_name": "PETER",
"middle_name": "EHREN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-19",
"last_updated": "2017-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "274346-216",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "20A15614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.