NPIMap

Individual provider Active NPI

Peter P Jiang, MD

  • Infectious Disease Physician
  • Cape Girardeau, MO
National Provider Identifier
1245289263
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
2005023732 Issued in MO
Practice address
211 Saint Francis Dr
Specialty Clinic
Cape Girardeau, MO 63703-5049
Phone
(573) 331-5932
Fax
(573) 331-5931
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2005023732 MO
Infectious Disease Physician 207RI0200X 2005023732 MO Primary

Addresses

Primary practice location

211 Saint Francis Dr
Specialty Clinic
Cape Girardeau, MO 63703-5049

Mailing address

3170 County Road 635
Cape Girardeau, MO 63701-8656
Phone (573) 334-6202

Other identifiers 3

IdentifierTypeStateIssuer
199929OtherMOBLUE SHIELD/BLUE CHOICE
200307908MedicaidMO
718095OtherMOHEALTHLINK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050920000110 MO Practitioner - Infectious DiseasePractitioner - Internal Medicine 9436183506 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
University of Missouri, Columbia School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Specialists of Southeast Missouri, PCGroup PAC ID 2860589488, 2 clinicians
Southeast Missouri Hospital Physicians LLCGroup PAC ID 9133024334, 206 clinicians

Practice addresses (Care Compare)

1701 Lacey St
Cape Girardeau, MO 63701-5230
Phone (573) 334-4822

1723 Broadway St
Suite 120
Cape Girardeau, MO 63701-4556
Phone (573) 331-7880

Hospital & facility affiliations

  • Elara Caring Home health agency, Dexter, MO, CCN 267589
  • Saint Francis Medical Center Hospital, Cape Girardeau, MO, CCN 260183
  • Mercy Hospital Southeast Hospital, Cape Girardeau, MO, CCN 260110
  • Deaconess Illinois Union County Hospital, Anna, IL, CCN 141342

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Specialists of Southeast Missouri, PC CurrentSince Aug 15, 2009 Accepting new patients
Southeast Missouri Hospital Physicians, LLC CurrentSince Sep 28, 2020 Accepting new patients
Cape Girardeau County Health Department Past Accepting new patients
Cape Girardeau County Health Department Past Accepting new patients

Locations

1723 Broadway St
Ste 205
Cape Girardeau, MO 63701
Phone (573) 331-7830

1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000

1723 Broadway St
Ste 120
Cpe Girardeau, MO 63701
Phone (573) 331-4680

Organizations & group practices 6

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 5

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1245289263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 COUNTY ROAD 635",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637018656",
            "telephone_number": "573-334-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 SAINT FRANCIS DR",
            "address_2": "SPECIALTY CLINIC",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035049",
            "telephone_number": "573-331-5932",
            "fax_number": "573-331-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIANG",
        "first_name": "PETER",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2005023732",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MO",
            "license": "2005023732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD/BLUE CHOICE",
            "identifier": "199929",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200307908",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "718095",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.