Individual provider Active NPI

David Eric Peltzer, M.D.

  • Family Medicine Physician
  • Newton, NC
National Provider Identifier
1053370288
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9401296 Issued in NC
Practice address
767 W 1St St
Newton, NC 28658-4238
Phone
(828) 465-3928
Fax
(828) 465-3118
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9401296 NC Primary

Addresses

Primary practice location

767 W 1St St
Newton, NC 28658-4238

Mailing address

767 W 1St St
Newton, NC 28658-4238
Phone (828) 465-3928

Other identifiers 4

IdentifierTypeStateIssuer
8966726MedicaidNC
1053370288OtherNCBCBS NPI NUMBER
080100192OtherNCRAILROAD MEDICARE
0229NOtherNCBCBS GRP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20071113000747 NC Practitioner - Family Practice 4880782572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Virginia School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newton Family Physicians PAGroup PAC ID 0446289748, 10 clinicians

Practice addresses (Care Compare)

767 W 1St St
Newton, NC 28658-4238
Phone (828) 465-3928

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9401296NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newton Family Physicians, P.a. Family Medicine CurrentSince Aug 1, 1994 Accepting new patients

Locations

767 W 1st St
Newton, NC 28658
Phone (828) 304-0400

Interoperability endpoints

  • Direct secure messaging: davidpeltzermd@newton.trimed.direct-ci.com

Organizations & group practices 1

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254268800000",
    "number": "1053370288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 W 1ST ST",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286584238",
            "telephone_number": "828-465-3928",
            "fax_number": "828-465-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 W 1ST ST",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286584238",
            "telephone_number": "828-465-3928",
            "fax_number": "828-465-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTZER",
        "first_name": "DAVID",
        "middle_name": "ERIC",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2009-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9401296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8966726",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NPI NUMBER",
            "identifier": "1053370288",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080100192",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GRP NUMBER",
            "identifier": "0229N",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NC

Sources for this page

Verify at the official NPI Registry.