Active NPI
Peter Fredrick Crossno, MD
- Critical Care Medicine (Internal Medicine) Physician
- Murray, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 5413984-1205
- Practice address
- 5121 Cottonwood St
Intermountain Medical Center Ricu
Murray, UT 84107-5701 - Phone
- (801) 507-5492
- NPI assigned
- Jan 4, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5413984-1205 | UT | |
| Pulmonary Disease Physician | 207RP1001X | 5413984-1205 | UT | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 5413984-1205 | UT | Primary |
Addresses
Primary practice location
5121 Cottonwood St
Intermountain Medical Center Ricu
Murray, UT 84107-5701
Mailing address
5121 Cottonwood St
Intermountain Medical Center Ricu
Murray, UT 84107-5701
Phone (801) 507-5492
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | peter.crossno@direct.imail.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
5121 S Cottonwood St
Murray, UT 84107-5701
Phone (801) 507-4384
Hospital & facility affiliations
- Intermountain Medical Center
- Intermountain Health Riverton Hospital
- Intermountain Health St Vincent Regional Hospital
- Intermountain Health Alta View Hospital
- St. George Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5413984-1205 | UT | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Family Medicine | Current | Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998
400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080
5171 S Cottonwood St
South Salt Lake, UT 84107
Phone (801) 507-4000
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Clinic/Center
- Billings, MT
- NPI 1508289703
-
- Body Imaging Physician
- Salt Lake City, UT
- NPI 1174713978
-
- Multi-Specialty Clinic/Center
- Riverton, UT
- NPI 1841514668
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Multi-Specialty Clinic/Center
- Orem, UT
- NPI 1588601124
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Riverton, UT
- NPI 1154551919
-
- General Acute Care Hospital
- Sandy, UT
- NPI 1962412486
-
- General Acute Care Hospital
- Murray, UT
- NPI 1043220650
-
- General Acute Care Hospital
- St George, UT
- NPI 1366452880
-
- General Acute Care Hospital
- Billings, MT
- NPI 1083655997
-
- General Acute Care Hospital
- Billings, MT
- NPI 1396916276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628035200000",
"number": "1083761936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5121 COTTONWOOD ST",
"address_2": "INTERMOUNTAIN MEDICAL CENTER RICU",
"city": "MURRAY",
"state": "UT",
"postal_code": "841075701",
"telephone_number": "801-507-5492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5121 COTTONWOOD ST",
"address_2": "INTERMOUNTAIN MEDICAL CENTER RICU",
"city": "MURRAY",
"state": "UT",
"postal_code": "841075701",
"telephone_number": "801-507-5492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSSNO",
"first_name": "PETER",
"middle_name": "FREDRICK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "UT",
"license": "5413984-1205",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "UT",
"license": "5413984-1205",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "UT",
"license": "5413984-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "peter.crossno@direct.imail.org",
"affiliation": "N",
"address_1": "5121 Cottonwood St",
"address_2": "Intermountain Medical Center RICU",
"city": "Murray",
"state": "UT",
"country_code": "US",
"postal_code": "841075701",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.