Individual provider Active NPI

Douglas Knox Peters, M.D.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1174567663
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J6657 Issued in TX
Practice address
6360 W Sam Houston Pkwy N
Ste 200
Houston, TX 77041
Phone
(713) 280-0400
Fax
(713) 896-0702
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J6657 TX Primary

Addresses

Primary practice location

6360 W Sam Houston Pkwy N
Ste 200
Houston, TX 77041

Mailing address

6360 W Sam Houston Pkwy N
Ste 200
Houston, TX 77041
Phone (713) 280-0400

Other identifiers 1

IdentifierTypeStateIssuer
046233502MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040719000019 TX Practitioner - Family PracticePractitioner - Dermatology 0042299521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

12345 Katy Fwy
Houston, TX 77079-1503
Phone (281) 679-5600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care PA CurrentSince May 19, 2014 Accepting new patients
American Current Care, P.a. Current Accepting new patients
American Current Care P.a. CurrentSince May 19, 2014 Accepting new patients
Village Chiropractic and Wellness P.L.L.C. Past Accepting new patients

Locations

15810 Midway Rd
Addison, TX 75001
Phone (972) 458-8111

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

4025 Spid Dr
Corpus Christi, TX 78411
Phone (361) 852-8255

1002 Abc Ave
Ste 600
Freeport, TX 77541
Phone (979) 233-6571

12345 Katy Fwy
Houston, TX 77079
Phone (281) 679-5600

401 Greens Rd
Houston, TX 77060
Phone (281) 353-7086

6360 W Sam Houston Pkwy N
Ste 200
Houston, TX 77041
Phone (713) 280-0400

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1174567663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 W SAM HOUSTON PKWY N",
            "address_2": "STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77041",
            "telephone_number": "713-280-0400",
            "fax_number": "713-453-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 W SAM HOUSTON PKWY N",
            "address_2": "STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77041",
            "telephone_number": "713-280-0400",
            "fax_number": "713-896-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "DOUGLAS",
        "middle_name": "KNOX",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J6657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046233502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.