Individual provider Active NPI

Tony Peter, MD

  • Otolaryngology Physician
  • Frisco, TX
National Provider Identifier
1023549870
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
T5433 Issued in TX
Practice address
8380 Warren Pkwy Ste 504
Frisco, TX 75034-4253
Phone
(972) 596-4005
Fax
(972) 985-1253
NPI assigned
Mar 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 125.071145 TX
Otolaryngology Physician 207Y00000X T5433 TX Primary

Addresses

Primary practice location

8380 Warren Pkwy Ste 504
Frisco, TX 75034-4253

Mailing address

8380 Warren Pkwy Ste 504
Frisco, TX 75034-4253
Phone (972) 596-4005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20221208002283 TX Practitioner - Otolaryngology 2769753029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Loyola University of Chicago, Stritch School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Collin County ENTGroup PAC ID 6507235835, 6 clinicians

Practice addresses (Care Compare)

8380 Warren Pkwy
Suite 504
Frisco, TX 75034-4253
Phone (972) 596-4005

Hospital & facility affiliations

  • Baylor Scott & White Medical Center - Frisco Hospital, Frisco, TX, CCN 450853

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.071145TXMDOtolaryngology Physician
T5433TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Loyola University Medical Center Current Accepting new patients
Collin County ENT Otolaryngology CurrentSince Aug 1, 2022 Accepting new patients
Tony K. Peter MD PLLC Otolaryngology Current Accepting new patients
Collin County ENT PA Otolaryngology Past Accepting new patients

Locations

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

8380 Warren Pkwy
Ste 504
Frisco, TX 75034
Phone (972) 596-4005

8080 Independence Pkwy
Ste 255
Plano, TX 75025
Phone (469) 678-2211

Interoperability endpoints

  • Direct secure messaging: tpeter57247@direct.luhs.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1023549870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8380 WARREN PKWY STE 504",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344253",
            "telephone_number": "972-596-4005",
            "fax_number": "972-985-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 WARREN PKWY STE 504",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344253",
            "telephone_number": "972-596-4005",
            "fax_number": "972-985-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETER",
        "first_name": "TONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-23",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "125.071145",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "T5433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.