Active NPI
Trevor Peters, CAA
- Anesthesiologist Assistant
- Lutz, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 791
- Practice address
- 4211 Van Dyke Rd
Lutz, FL 33558-8005 - Phone
- (813) 443-7000
- NPI assigned
- Sep 5, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 791 | FL | Primary |
Addresses
Primary practice location
4211 Van Dyke Rd
Lutz, FL 33558-8005
Mailing address
16804 Tobacco Rd
Lutz, FL 33558-4814
Phone (407) 466-3015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2020 Trinity Oaks Blvd
Trinity, FL 34655-4402
Phone (954) 939-5000
Hospital & facility affiliations
- St Josephs Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 791 | FL | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Anesthesia LLC | Current | Accepting new patients | |
| Bay Area Anesthesia LLC | Current | Accepting new patients |
Locations
4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300
8787 Bryan Dairy Rd
Ste 300
Seminole, FL 33777
Phone (727) 394-5300
4801 N Howard Ave
Tampa, FL 33603
Phone (727) 581-4800
2020 Trinity Oaks Blvd
Trinity, FL 34655
Phone (727) 372-4055
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Largo, FL
- NPI 1134210040
-
- Anesthesiology Physician
- South Pasadena, FL
- NPI 1487328100
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1033830559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16804 TOBACCO RD",
"city": "LUTZ",
"state": "FL",
"postal_code": "335584814",
"telephone_number": "407-466-3015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4211 VAN DYKE RD",
"city": "LUTZ",
"state": "FL",
"postal_code": "335588005",
"telephone_number": "813-443-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "TREVOR",
"credential": "CAA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-05",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "FL",
"license": "791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.