Individual provider Active NPI

Craig Michael Peters, DO

  • Cardiovascular Disease Physician
  • Flagstaff, AZ
National Provider Identifier
1023167384
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4577 Issued in AZ
Practice address
1215 N Beaver St
Heart & Vascular Center of Northern Arizona
Flagstaff, AZ 86001-3118
Phone
(928) 773-2200
Fax
(928) 773-2201
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 34.009548 OH
Cardiovascular Disease Physician 207RC0000X 4577 AZ Primary

Addresses

Primary practice location

1215 N Beaver St
Heart & Vascular Center of Northern Arizona
Flagstaff, AZ 86001-3118

Mailing address

1200 N Beaver St
Payer Credentialing
Flagstaff, AZ 86001-3118
Phone (928) 773-2559

Other identifiers 1

IdentifierTypeStateIssuer
210080MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20070514000317 AZ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0446357206 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Ohio University, College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

9250 N 3Rd St
Suite 2000
Phoenix, AZ 85020-2403
Phone (602) 861-1168

Hospital & facility affiliations

  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
  • Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092
  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.009548OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flagstaff Medical Center CurrentSince Mar 27, 2013 Accepting new patients
Honorhealth Medical Group, LLC CurrentSince May 1, 2021 Accepting new patients
Honorhealth Ambulatory CurrentSince Mar 21, 2016 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Medical Group, LLC CurrentSince May 1, 2021 Accepting new patients
Honorhealth Ambulatory CurrentSince Mar 21, 2016 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Flagstaff Medical Center CurrentSince Mar 27, 2013 Accepting new patients
Honorhealth Ambulatory Cardiovascular Disease Past Accepting new patients

Locations

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

1215 N Beaver St
Flagstaff, AZ 86001
Phone (928) 773-2200

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

16716 E Palisades Blvd
Ste 101A
Fountain Hills, AZ 85268
Phone (480) 587-6900

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

6220 W Bell Rd
Ste 120
Glendale, AZ 85308
Phone (480) 587-6614

9250 N 3rd St
Ste 3010
Phoenix, AZ 85020
Phone (623) 238-7750

1515 E Bethany Home Rd
Ste 120A
Phoenix, AZ 85014
Phone (480) 718-5072

18404 N Tatum Blvd
Ste 201
Phoenix, AZ 85032
Phone (602) 277-6993

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

9250 N 3rd St
Ste 2000
Phoenix, AZ 85020
Phone (602) 246-9080

18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900

19636 N 27th Ave
Ste 401
Phoenix, AZ 85027
Phone (602) 298-8888

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

26224 N Tatum Blvd
Ste 7
Phoenix, AZ 85050
Phone (602) 992-1900

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

10200 N 92nd St
Ste 150
Scottsdale, AZ 85258
Phone (480) 860-8488

1418 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-6336

Interoperability endpoints

  • Direct secure messaging: cpeters78061@direct.honorhealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1023167384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N BEAVER ST",
            "address_2": "PAYER CREDENTIALING",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013118",
            "telephone_number": "928-773-2559",
            "fax_number": "928-213-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 N BEAVER ST",
            "address_2": "HEART & VASCULAR CENTER OF NORTHERN ARIZONA",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013118",
            "telephone_number": "928-773-2200",
            "fax_number": "928-773-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "CRAIG",
        "middle_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "34.009548",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "4577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210080",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.