Active NPI
Peter S. Easter, D.O.
- Pediatrics Physician
- San Antonio, TX
National Provider Identifier
1164699773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- S3158
- Practice address
- 1100 Wilford Hall Loop
San Antonio, TX 78236-5638 - Phone
- (210) 395-9798
- NPI assigned
- May 13, 2008
- 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 |
|---|---|---|---|---|
| Clinical Informatics Physician | 2083C0008X | S3158 | TX | |
| Pediatrics Physician | 208000000X | S3158 | TX | Primary |
| Pediatrics Physician | 208000000X | 20A11156 | CA |
Addresses
Primary practice location
1100 Wilford Hall Loop
San Antonio, TX 78236-5638
Mailing address
1100 Wilford Hall Loop
San Antonio, TX 78236-5638
Other practice location 1
Brooke Army Medical Center
3551 Roger Brooke Dr
JBSA Fort Sam Houston, TX 78234-4504
Phone (210) 292-7347
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150427001057 | AZ | Order and Referring Only - Pediatric Medicine | 3870812761 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A11156 | CA | MD | Pediatrics Physician |
| S3158 | TX | MD | Pediatrics Physician |
| 11156 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1164699773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 WILFORD HALL LOOP",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782365638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 WILFORD HALL LOOP",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782365638",
"telephone_number": "210-395-9798"
}
],
"practiceLocations": [
{
"address_1": "Brooke Army Medical Center",
"address_2": "3551 Roger Brooke Dr",
"address_purpose": "LOCATION",
"city": "JBSA Fort Sam Houston",
"state": "TX",
"postal_code": "782344504",
"country_code": "US",
"telephone_number": "210-292-7347",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EASTER",
"first_name": "PETER",
"middle_name": "S.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-13",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "2083C0008X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Clinical Informatics",
"state": "TX",
"license": "S3158",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "S3158",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "20A11156",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- East Central Independent School District
- East Prestige Emergency Room, LLC
- Easter Seal Rehabilitation Center
- Easter Seals
- Easter Seals Rehbilitation Center
- Patty Orosco Eastin, RN
- Briana Easton
- Margaret Liana Eastridge, MSN, AGCNS-BC, APRN
- Eastwood Realty Solutions, Inc
- Levi Hunter Eastwood, LPC - ASSOCIATE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.