Individual provider Active NPI

Christina Jo Peterson

  • Urology Physician
  • Topeka, KS
National Provider Identifier
1144783390
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
04-49627 Issued in KS
Practice address
631 SW Horne St Ste 210
Topeka, KS 66606-1663
Phone
(785) 270-7660
Fax
(785) 232-2564
NPI assigned
Apr 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 04-49627 KS Primary

Addresses

Primary practice location

631 SW Horne St Ste 210
Topeka, KS 66606-1663

Mailing address

Vanderbilt Department of Urology
A-1302 Medical Center North
Nashville, TN 37232-2765
Phone (615) 343-5604

Other practice location 1

Vanderbilt Department of Urology
A-1302 Medical Center North
Nashville, TN 37232-2765
Phone (615) 343-5604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20240816000435 KS Practitioner - Urology 8527506914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Kansas School of Med (KC/Wich/Sal), 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Topeka Physician Group LLCGroup PAC ID 6406112473, 149 clinicians

Practice addresses (Care Compare)

631 SW Horne St
Suite 210
Topeka, KS 66606-1663
Phone (785) 270-7660

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Topeka Physician Group, LLC CurrentSince Aug 1, 2024 Accepting new patients
Topeka Physician Group, LLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310

631 SW Horne St
Ste 210
Topeka, KS 66606
Phone (785) 233-1800

Interoperability endpoints

  • Direct secure messaging: cpeterson148740@stormontvaildirect.org
  • Direct secure messaging: cpeterson1092217@ahs.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1144783390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VANDERBILT DEPARTMENT OF UROLOGY",
            "address_2": "A-1302 MEDICAL CENTER NORTH",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372322765",
            "telephone_number": "615-343-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 SW HORNE ST STE 210",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061663",
            "telephone_number": "785-270-7660",
            "fax_number": "785-232-2564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Vanderbilt Department of Urology",
            "address_2": "A-1302 Medical Center North",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372322765",
            "country_code": "US",
            "telephone_number": "615-343-5604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CHRISTINA",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-12",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "KS",
            "license": "04-49627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.