Individual provider Active NPI

Jason E Peters, MD

  • Family Medicine Physician
  • Harlingen, TX
National Provider Identifier
1083638779
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M4911 Issued in TX
Practice address
2106 Hale Avenue
Harlingen, TX 78550-8408
Phone
(956) 423-9111
Fax
(956) 423-9273
NPI assigned
Jul 26, 2006
Last updated
Nov 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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 M4911 TX Primary

Addresses

Primary practice location

2106 Hale Avenue
Harlingen, TX 78550-8408

Mailing address

2106 Hale Avenue
Harlingen, TX 78550-8408
Phone (956) 423-9111

Other identifiers 1

IdentifierTypeStateIssuer
8AD120OtherTXBLUE CROSS

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
I20070906000516 TX Practitioner - Family Practice 2961595905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Alabama College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jason Edward Peters, M.D., P.a.Group PAC ID 2860585809, 2 clinicians

Practice addresses (Care Compare)

2106 Hale Ave
Harlingen, TX 78550-8408
Phone (956) 423-9111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jason Edward Peters, M.D., P.a. Family Medicine CurrentSince Jul 11, 2007 Accepting new patients
Starr County Hospital District Past Accepting new patients

Locations

2106 Hale Ave
Harlingen, TX 78550
Phone (956) 423-9111

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1083638779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 HALE AVENUE",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508408",
            "telephone_number": "956-423-9111",
            "fax_number": "956-423-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 HALE AVENUE",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508408",
            "telephone_number": "956-423-9111",
            "fax_number": "956-423-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "JASON",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M4911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8AD120",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.