Michael W. Peterson, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

K0994 Issued in TX

Practice address

600 S Austin Rd
Eagle Lake, TX 77434-3202

Phone

(979) 234-5571

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.peterson.1@6815.direct.athenahealth.com

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.

• Cahrmc

  • Critical Access Hospital
  • Eagle Lake, TX
  • NPI 1205164928

  TX

  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610

  Emergency Medicine, TX

  Medicare reassignment NPD
• Emergency Hospital Systems LLC

  • General Acute Care Hospital
  • Cleveland, TX
  • NPI 1992172019

  TX

  Medicare reassignment NPD
• Ess of Port Lavaca LLC

  • Emergency Medicine Physician
  • Port Lavaca, TX
  • NPI 1922546936

  Emergency Medicine, TX

  Medicare reassignment NPD
• Ess of South Texas LLC

  • Emergency Medicine Physician
  • Liberty, TX
  • NPI 1295128247

  Emergency Medicine, TX

  Medicare reassignment NPD
• Fisher County Hospital District

  • Rural Health Clinic/Center
  • Rotan, TX
  • NPI 1104808112

  TX

  Medicare reassignment NPD
• Jackson County Hospital District

  • Emergency Medicine Physician
  • Edna, TX
  • NPI 1215971478

  Emergency Medicine, TX

  Medicare reassignment NPD
• Muenster Hospital District

  • Emergency Medicine Physician
  • Muenster, TX
  • NPI 1972556009

  Emergency Medicine, TX

  Medicare reassignment NPD
• Questcare Medical Services, PLLC

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1912059247

  Emergency Medicine, TX

  Medicare reassignment NPD
• Refugio County Memorial Hospital District

  • Emergency Medicine Physician
  • Refugio, TX
  • NPI 1821178336

  Emergency Medicine, TX

  Medicare reassignment NPD
• Southwest Medical Associates, Inc.

  • Emergency Medicine Physician
  • Electra, TX
  • NPI 1831299122

  Emergency Medicine, TX

  Medicare reassignment NPD
• Texas Emergency Group LLC

  • Emergency Medicine Physician
  • Cuero, TX
  • NPI 1699288811

  Emergency Medicine, TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1124110127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 N 5TH ST STE U",
            "city": "SILSBEE",
            "state": "TX",
            "postal_code": "776563838",
            "telephone_number": "409-291-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S AUSTIN RD",
            "city": "EAGLE LAKE",
            "state": "TX",
            "postal_code": "774343202",
            "telephone_number": "979-234-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "MICHAEL",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "K0994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029922416",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittnee Nicole Flowers
• Linda Harris
• Meek Medical Transportation Services
• John Blakely Myres
• Nexion Health at Eagle Lake, Inc.
• Vanessa M Posey, MED, LPC, LCDC-INTER
• Brianna Quinney, OTR
• Danisha Monique Reggins
• Resilient Path Navigations
• Rice Consolidated Isd

• Emergency Medicine Physician in Eagle Lake, TX
• Providers in Eagle Lake, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.