Kirk Kevin Peterson, MD
Individual provider Active NPI Family Medicine Physician · Huxley, IA
NPI 1255391983 · NPPES record last updated Aug 9, 2012
Key facts
- NPI
- 1255391983
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 30674 (IA)
- Practice address
- 305 S Hwy 69
Huxley, IA 50124-8095 - Phone
- (515) 597-2600
- Fax
- (515) 597-3945
- NPI assigned
- Mar 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Iowa Physicians Clinic Medical Foundation
Practice addresses (Care Compare)
305 S US Hwy 69
Family Med Huxley
Huxley, IA 50124-8095
Phone (515) 597-2600
4480 Utica Ridge Rd
Bettendorf, IA 52722-1644
4480 Utica Ridge Rd
Suite 160
Bettendorf, IA 52722-1637
Phone (563) 742-5950
Hospital & facility affiliations
- Unitypoint at Home
- Suncrest Hospice, LLC
- Mary Greeley Medical Center
- Unitypoint Health - Des Moines Iowa Methodist Medi
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 30 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090225000405 | IA | Practitioner - Family Practice | 2668538778 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30674 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Physicians Clinic Medical Foundation | Family Medicine | Current |
Accepting new patients |
| St Luke'S Methodist Hospital | Current | Accepting new patients |
Locations
410 NW Ash Dr
Ankeny, IA 50023
Phone (515) 964-1101
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
4210 Hickman Rd
Des Moines, IA 50310
Phone (515) 277-6141
2001 Kennedy St
Granger, IA 50109
Phone (515) 999-2588
305 S US Highway 69
Huxley, IA 50124
Phone (515) 597-2600
630 6th St
Nevada, IA 50201
Phone (515) 382-2111
640 S 19th St
Nevada, IA 50201
Phone (515) 382-2111
8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363
Interoperability endpoints
- kpeterson38783@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 30674 | IA | Yes |
Addresses
Primary practice location
305 S Hwy 69
Huxley, IA 50124-8095
Mailing address
305 S US Highway 69
Huxley, IA 50124-8095
Phone (515) 597-2600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255391983 | Medicaid | IA | |
| 151100 | Medicaid | IA |
Other providers in Huxley, IA
- Steven Grant Kruse
- Madrid Home for the Aging
- Katherine Marvick
- Chelsea P Nobiling
- Whitney Peters
- Jonathan K Remsburg
- Sara Khan OD PC
- Sarah Steege
- Allison E Testroet
- Erica Michelle Thorson
All providers in Huxley, IA · Family Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.