Active NPI
Craig Michael Peters, DO
- Cardiovascular Disease Physician
- Flagstaff, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 4577
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 210080 | Medicaid | AZ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- 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
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
- Honorhealth Deer Valley Medical Center
- Honorhealth Scottsdale Shea Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.009548 | OH | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flagstaff Medical Center | Current | Accepting new patients | |
| Honorhealth Medical Group, LLC | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth Medical Group, LLC | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth Medical Group, LLC | Current | Accepting new patients | |
| Flagstaff Medical Center | Current | 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
- 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.
-
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
-
- General Acute Care Hospital
- Flagstaff, AZ
- NPI 1780635078
-
- Primary Care Clinic/Center
- Peoria, AZ
- NPI 1043851793
-
- Community/Retail Pharmacy
- Flagstaff, AZ
- NPI 1649348442
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Phoenix, AZ
- NPI 1528693553
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1891518130
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1285338343
-
- Family Medicine Physician
- Glendale, AZ
- NPI 1619469699
-
- Cardiovascular Disease Physician
- Scottsdale, AZ
- NPI 1275833915
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1386608859
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1528169125
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1770690695
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.