Active NPI
Mhroos Faik Barak Peters, M.D.
- Family Medicine Physician
- Beaver Dam, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 59935
- Practice address
- 1213 N Main St
Beaver Dam, KY 42320-8955 - Phone
- (270) 274-4771
- Fax
- (270) 274-4884
- NPI assigned
- Mar 30, 2007
- Last updated
- Oct 10, 2025
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101267619 | VA | |
| Family Medicine Physician | 207Q00000X | 59935 | KY | Primary |
| Internal Medicine Physician | 207R00000X | 249349 | NY | |
| Hospitalist Physician | 208M00000X | 0101267619 | VA |
Addresses
Primary practice location
1213 N Main St
Beaver Dam, KY 42320-8955
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565
Other practice location 1
1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
Phone (270) 417-4700
Other practice location 2
440 Hopkinsville St
Greenville, KY 42345-1124
Phone (270) 338-8000
Other practice location 3
245 Medical Park Dr Fl 2
Marion, VA 24354-1100
Phone (276) 378-3300
Other practice location 4
58 Carroll Street
Rm 2037
Lebanon, VA 24266-4510
Phone (276) 883-8000
Other practice location 5
16000 Johnston Memorial Dr Fl 4
Abingdon, VA 24211-7664
Phone (276) 258-1000
Other practice location 6
100 Port Washington Blvd.
Saint Francis Hospitalists
Roslyn, NY 11576-1347
Phone (516) 562-6385
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03037390 | Medicaid | NY | |
| 7101011770 | Medicaid | KY |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mpeters128439@direct.owensborohealth.org | ||
| Direct Messaging Address | mpeters128439@direct.owensborohealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, TN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
1213 N Main St
Beaver Dam, KY 42320-8955
Phone (270) 274-4771
2211 Mayfair Dr
Owensboro, KY 42301-4569
910 Wallace Ave
Leitchfield, KY 42754-2414
Phone (270) 259-9491
PO Box
Owensboro, KY 42304-3229
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59935 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Medical Associates Inc | Family Medicine | Current | Accepting new patients |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management | Internal Medicine | Current | Accepting new patients |
| Owensboro Health Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Wellmont Medical Associates Inc | Family Medicine | Current | Accepting new patients |
| Blue Ridge Medical Management Corporation | Family Medicine | Current | Accepting new patients |
| Owensboro Health Medical Group, Inc | Family Medicine | Past | Accepting new patients |
| Blue Ridge Medical Management Corporation | Past | Accepting new patients | |
| St Francis Hospital United States Catholic Conference | Past | Accepting new patients | |
| Cogent Medical Care PC | Family Medicine | Past | Accepting new patients |
Locations
1213 N Main St
Beaver Dam, KY 42320
Phone (270) 274-4771
440 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-8000
1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000
2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
16000 Johnston Memorial Dr
Abingdon, VA 24211
Phone (276) 258-1000
16000 Johnston Memorial Dr
Fl 4
Abingdon, VA 24211
Phone (276) 258-1000
323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612
391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406
1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111
245 Medical Park Dr
Fl 2
Marion, VA 24354
Phone (276) 378-1000
Interoperability endpoints
- mpeters128439@direct.owensborohealth.org
Organizations & group practices 13
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.
-
dba Owensboro Health Muhlenberg Community Hospital Wound Center
- Surgery Physician
- Greenville, KY
- NPI 1235518242
-
dba Ballad Health Medical Associates
- Cardiovascular Disease Physician
- Marion, VA
- NPI 1326159567
-
dba Ballad Health Medical Associates
- Internal Medicine Physician
- Abingdon, VA
- NPI 1174808216
Family Medicine
-
dba Ballad Health Medical Associates
- Pulmonary Disease Physician
- Bristol, TN
- NPI 1780986257
Family Medicine
-
dba Owensboro Health Medical Group Premier Primary Care
- Internal Medicine Physician
- Owensboro, KY
- NPI 1306700711
-
dba Owensboro Health Muhlenberg Community Hospital EKG
- Family Medicine Physician
- Greenville, KY
- NPI 1699154203
-
dba Ballad Health Medical Associates
- Internal Medicine Physician
- Marion, VA
- NPI 1598141970
-
dba Ballad Health Medical Associates
- Family Medicine Physician
- Johnson City, TN
- NPI 1982553756
-
dba Ballad Health Medical Associates
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
-
dba Owensboro Health Medical Group - EKG Professional Services
- Family Medicine Physician
- Owensboro, KY
- NPI 1376594242
-
dba Ballad Health Medical Associates
- Cardiovascular Disease Physician
- Johnson City, TN
- NPI 1740227131
-
- Internal Medicine Physician
- East Patchogue, NY
- NPI 1912941238
Family Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hospice of Western Kentucky
- Community Based Hospice Care Agency
- Owensboro, KY
- NPI 1003892977
-
- Critical Access Hospital
- Hartford, KY
- NPI 1629007430
-
dba Owensboro Health Regional Hospital
- General Acute Care Hospital
- Owensboro, KY
- NPI 1285613612
-
dba Owensboro Health Twin Lakes Medical Center
- General Acute Care Hospital
- Leitchfield, KY
- NPI 1285221416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760054400000",
"number": "1083734123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 W OAKLAND AVE STE 310",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042192",
"telephone_number": "423-302-6565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 N MAIN ST",
"city": "BEAVER DAM",
"state": "KY",
"postal_code": "423208955",
"telephone_number": "270-274-4771",
"fax_number": "270-274-4884"
}
],
"practiceLocations": [
{
"address_1": "1201 Pleasant Valley Rd",
"address_purpose": "LOCATION",
"city": "Owensboro",
"state": "KY",
"postal_code": "423039811",
"country_code": "US",
"telephone_number": "270-417-4700",
"fax_number": "270-417-4709",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "440 Hopkinsville St",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "KY",
"postal_code": "423451124",
"country_code": "US",
"telephone_number": "270-338-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "245 Medical Park Dr Fl 2",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "VA",
"postal_code": "243541100",
"country_code": "US",
"telephone_number": "276-378-3300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "58 Carroll Street",
"address_2": "Rm 2037",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "VA",
"postal_code": "242664510",
"country_code": "US",
"telephone_number": "276-883-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16000 Johnston Memorial Dr Fl 4",
"address_purpose": "LOCATION",
"city": "Abingdon",
"state": "VA",
"postal_code": "242117664",
"country_code": "US",
"telephone_number": "276-258-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Port Washington Blvd.",
"address_2": "Saint Francis Hospitalists",
"address_purpose": "LOCATION",
"city": "Roslyn",
"state": "NY",
"postal_code": "115761347",
"country_code": "US",
"telephone_number": "516-562-6385",
"fax_number": "516-562-6300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAIK BARAK PETERS",
"first_name": "MHROOS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-30",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101267619",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "59935",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "249349",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "VA",
"license": "0101267619",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03037390",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7101011770",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mpeters128439@direct.owensborohealth.org",
"affiliation": "N",
"address_1": "1201 Pleasant Valley Rd",
"city": "Owensboro",
"state": "KY",
"country_code": "US",
"postal_code": "423039811",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mpeters128439@direct.owensborohealth.org",
"affiliation": "N",
"address_1": "1213 N Main St",
"city": "Beaver Dam",
"state": "KY",
"country_code": "US",
"postal_code": "423208955",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Beaver Dam, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.