Individual provider Active NPI

Peter Drake, MD

  • Emergency Medicine Physician
  • Denver, CO
National Provider Identifier
1124655600
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DR.0071785 Issued in CO
Practice address
777 Bannock St # Mc0108
Denver, CO 80204-4507
Phone
(303) 602-5176
NPI assigned
Mar 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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 72985 AZ
Emergency Medicine Physician 207P00000X 04-49555 KS
Emergency Medicine Physician 207P00000X DR.0071785 CO Primary

Addresses

Primary practice location

777 Bannock St # Mc0108
Denver, CO 80204-4507

Mailing address

11820 Destination Dr
Broomfield, CO 80021-2518
Phone (720) 848-0000

Other practice location 1

12020 Colorado Blvd
Thornton, CO 80241-3562
Phone (720) 848-0000

Other practice location 2

11820 Destination Dr
Broomfield, CO 80021-2518
Phone (720) 848-0000

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 3

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

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Central Michigan College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lutheran Hospital Association of the San Luis Valley 146 clinicians
Innova Emergency Medical Associates PC 69 clinicians

Practice addresses (Care Compare)

19021 US Hwy 285
La Jara, CO 81140-9410
Phone (719) 274-5121

2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (928) 537-4375

315 W 15TH St
Liberal, KS 67901-2455
Phone (620) 624-1651

Hospital & facility affiliations

  • Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055
  • Southwest Medical Center Hospital, Liberal, KS, CCN 170068
  • San Luis Valley Regional Medical Center Hospital, Alamosa, CO, CCN 060008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX, AZ, KS4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20231027002667 CO Practitioner - Emergency Medicine 2163878000 Reassigns benefits to 1 organization
I20240727000709 TX Practitioner - Emergency Medicine 2163878000 Reassigns benefits to 1 organization
I20240926002249 AZ Practitioner - Emergency Medicine 2163878000 Reassigns benefits to 1 organization
I20240930001408 KS Practitioner - Emergency Medicine 2163878000 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
72985AZMDEmergency Medicine Physician
DR.0071785COMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Lukes Hospital of Garnett Inc CurrentSince Sep 23, 2024 Accepting new patients
Saint Luke'S Hospital of Allen County, Inc CurrentSince Sep 12, 2024 Accepting new patients
Saint Lukes Hospital of Garnett Inc CurrentSince Sep 23, 2024 Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Gila River Health Care Corporation CurrentSince Jul 11, 2024 Accepting new patients
Gila River Health Care CurrentSince Jul 11, 2024 Accepting new patients
Lutheran Hospital Association of the San Luis Valley CurrentSince Sep 1, 2025 Accepting new patients
Saint Luke'S Hospital of Allen County, Inc CurrentSince Sep 12, 2024 Accepting new patients
Innova Emergency Medical Associates PC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Southwest Medical Center Past Accepting new patients

Locations

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

106 Blanca Ave
Alamosa, CO 81101
Phone (719) 589-2511

310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510

19021 US Highway 285
La Jara, CO 81140
Phone (719) 274-5121

9878 W Belleview Ave
Littleton, CO 80123
Phone (303) 978-1316

421 S Maple St
Garnett, KS 66032
Phone (785) 204-7105

111 S 9th St
Humboldt, KS 66748
Phone (620) 365-3115

3066 N Kentucky St
Iola, KS 66749
Phone (620) 365-1000

315 W 15th St
Liberal, KS 67901
Phone (620) 624-1651

Interoperability endpoints

  • FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1124655600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11820 DESTINATION DR",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800212518",
            "telephone_number": "720-848-0000",
            "fax_number": "303-460-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST # MC0108",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044507",
            "telephone_number": "303-602-5176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12020 Colorado Blvd",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802413562",
            "country_code": "US",
            "telephone_number": "720-848-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11820 Destination Dr",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800212518",
            "country_code": "US",
            "telephone_number": "720-848-0000",
            "fax_number": "303-460-6197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "72985",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "04-49555",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR.0071785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.