NPIMap

Individual provider Active NPI

Richard Taft Peterson, D.O.

  • Emergency Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1083290944
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
10867 Issued in AZ
Practice address
2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone
(602) 344-5011
NPI assigned
Mar 22, 2021
Last updated
Aug 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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 010687 AZ
Emergency Medicine Physician 207P00000X TP357 KY
Emergency Medicine Physician 207P00000X 10867 AZ Primary

Addresses

Primary practice location

2601 E Roosevelt St
Phoenix, AZ 85008-4973

Mailing address

711 N Tatum LN
Gilbert, AZ 85234-3122
Phone (480) 404-0296

Other practice location 1

119 Oakfield Dr
Brandon, FL 33511-5779
Phone (813) 681-5551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240408000947 AZ Practitioner - Emergency Medicine 1557761277 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Emergency Medicine of Arizona LLCGroup PAC ID 7113447475, 36 clinicians
Cep America- Arizona, PCGroup PAC ID 1850541970, 89 clinicians
Tec Emergency Physicians of Arizona, LLCGroup PAC ID 6204256084, 155 clinicians

Practice addresses (Care Compare)

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (954) 939-5000

1301 S Crimson Rd
Mesa, AZ 85209-3767
Phone (480) 358-6100

1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone (480) 412-3000

9130 E Elliot Rd
Mesa, AZ 85212-9675
Phone (888) 732-3317

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
81.6
Improvement activities
40
Cost
77.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010687AZMDEmergency Medicine Physician
10867AZMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Aug 1, 2025 Accepting new patients
District Medical Group, Inc Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Emergency Professional Services PC Emergency Medicine CurrentSince Mar 1, 2025 Accepting new patients
Tec Emergency Physicians of Arizona, LLC CurrentSince Apr 1, 2025 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Cep America - Arizona PC Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Oct 20, 2024 Accepting new patients
Emergency Professional Services PC Emergency Medicine CurrentSince Mar 1, 2025 Accepting new patients
Usacs Emergency Medicine of Arizona, LLC Emergency Medicine CurrentSince Aug 2, 2025 Accepting new patients
Cep America- Arizona, PC Emergency Medicine Current Accepting new patients

Locations

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

4545 N Hunt Hwy
Florence, AZ 85132
Phone (480) 258-6100

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

1910 S Gilbert Rd
Mesa, AZ 85204
Phone (480) 410-6150

9130 E Elliot Rd
Mesa, AZ 85212
Phone (480) 410-4500

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

1419 W Hunt Hwy
San Tan Vly, AZ 85143
Phone (480) 245-4300

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

5125 S Rural Rd
Tempe, AZ 85282
Phone (480) 306-8780

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180

265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 985-7114

Interoperability endpoints

  • Direct secure messaging: rpeterson289600@direct.valleywisehealth.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1083290944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N TATUM LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852343122",
            "telephone_number": "480-404-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 E ROOSEVELT ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084973",
            "telephone_number": "602-344-5011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Oakfield Dr",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115779",
            "country_code": "US",
            "telephone_number": "813-681-5551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "RICHARD",
        "middle_name": "TAFT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-22",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "010687",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "TP357",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "10867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.