Individual provider Active NPI

Peter Chase, MD, PHD

  • Emergency Medicine Physician
  • Duluth, MN
National Provider Identifier
1063485563
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
41367 Issued in MN
Practice address
407 E 3Rd St
Duluth, MN 55805-1950
Phone
(218) 786-4000
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 28705 AZ
Emergency Medicine Physician 207P00000X 41367 MN Primary
Medical Toxicology (Emergency Medicine) Physician 207PT0002X 41367 MN

Addresses

Primary practice location

407 E 3Rd St
Duluth, MN 55805-1950

Mailing address

1702 University Dr S
Fargo, ND 58103-4940

Other identifiers 2

IdentifierTypeStateIssuer
930095151OtherAZRR MEDICARE
533978MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160115000301 MN Practitioner - Emergency MedicinePractitioner - Medical Toxicology 4082759444 Reassigns benefits to 16 organizations
I20180601000584 WI Practitioner - Emergency Medicine 4082759444 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Medical Toxicology
Education
University of Arizona College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Essentia Health Virginia LLCGroup PAC ID 7810149002, 64 clinicians

Practice addresses (Care Compare)

901 9TH St N
Virginia, MN 55792-2325
Phone (218) 741-3340

Hospital & facility affiliations

  • Essentia Health Virginia Hospital, Virginia, MN, CCN 240084
  • St Marys Hospital Superior Hospital, Superior, WI, CCN 521329
  • Essentia Health Moose Lake Hospital, Moose Lake, MN, CCN 241350
  • Essentia Health Northern Pines Medical Center Hospital, Aurora, MN, CCN 241340
  • Essentia Health Sandstone Hospital, Sandstone, MN, CCN 241309

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28705AZMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary'S Duluth Clinic Health System Current Accepting new patients
Essentia Health Moose Lake CurrentSince Nov 1, 2020 Accepting new patients
Pine Medical Center CurrentSince Jun 25, 2018 Accepting new patients
St. Joseph'S Medical Center Current Accepting new patients
Essentia Health Moose Lake Current Accepting new patients
Northern Pines Medical Center CurrentSince Jun 25, 2018 Accepting new patients
The Duluth Clinic, LTD Current Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
St. Mary'S Medical Center CurrentSince Jun 25, 2018 Accepting new patients
Healtheast Care System CurrentSince Jan 12, 2016 Accepting new patients
Fairview Bethesda Hospital CurrentSince Jan 12, 2016 Accepting new patients
Moose Lake Community Hospital District Current Accepting new patients
St. Mary'S Hospital of Superior Current Accepting new patients
Deer River Healthcare Center, Inc CurrentSince Jan 1, 2026 Accepting new patients
Healtheast St. John'S Hospital CurrentSince Jan 12, 2016 Accepting new patients
St Joseph'S Medical Center CurrentSince Jan 27, 2025 Accepting new patients
St Marys Medical Center CurrentSince Jun 25, 2018 Accepting new patients
St. Mary'S Hospital of Superior CurrentSince Jun 25, 2018 Accepting new patients
Deer River Healthcare Center, Inc. CurrentSince Jun 25, 2018 Accepting new patients
The Duluth Clinic LTD CurrentSince Jun 25, 2018 Accepting new patients
Northern Pines Medical Center CurrentSince Jun 25, 2018 Accepting new patients
Deer River Healthcare Center, Inc. Current Accepting new patients
Healtheast Woodwinds Hospital CurrentSince Jan 12, 2016 Accepting new patients
Essentia Health Moose Lake CurrentSince Nov 1, 2020 Accepting new patients
Pine Medical Center CurrentSince Jun 25, 2018 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Jun 25, 2018 Accepting new patients
Northern Pines Medical Center Current Accepting new patients
St Mary'S Hospital of Superior CurrentSince Jun 25, 2018 Accepting new patients
Essentia Health Virginia, LLC CurrentSince Jun 25, 2018 Accepting new patients

Locations

5211 Highway 110
Aurora, MN 55705
Phone (218) 229-1010

523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394

115 10th Ave NE
Deer River, MN 56636
Phone (218) 246-2900

115 10th Ave NE
#A
Deer River, MN 56636
Phone (218) 246-8275

402 E 2nd St
Duluth, MN 55805
Phone (218) 786-3443

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

4212 Grand Ave
Duluth, MN 55807
Phone (218) 786-3500

407 E 3rd St
Duluth, MN 55805
Phone (218) 786-4357

4572 County Road 61
Moose Lake, MN 55767
Phone (218) 485-4481

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000

705 Lundorff Dr
Sandstone, MN 55072
Phone (320) 245-2211

901 9th St N
Virginia, MN 55792
Phone (218) 741-3340

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

1702 University Dr S
Fargo, ND 58103
Phone (701) 364-4222

3500 Tower Ave
Superior, WI 54880
Phone (715) 392-8281

Organizations & group practices 29

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.

View all 29

Hospital & facility affiliations 9

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1063485563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 UNIVERSITY DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581034940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E 3RD ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051950",
            "telephone_number": "218-786-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "PETER",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "28705",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "41367",
            "primary": true
        },
        {
            "code": "207PT0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Medical Toxicology",
            "state": "MN",
            "license": "41367",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "930095151",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "533978",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.