Paul Lewis Petersen, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

ME82450 Issued in FL

Practice address

3663 S Miami Ave
Miami, FL 33133-4253

Phone

(305) 665-4614

Fax

(305) 667-0239

NPI assigned

Sep 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Emergency Medicine

Education

University of Utah School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cleveland Clinic FloridaGroup PAC ID 7911807128, 717 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cleveland Clinic Hospital Hospital, Weston, FL, CCN 100289

Merit-based Incentive Payment System (MIPS)

Final score

92.26 of 100Reported as apm

Quality

80.2

Promoting interoperability

99.24

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Cleveland Clinic Florida a Nonprofit Corporation

  • Clinic/Center
  • Weston, FL
  • NPI 1215989298
  Medicare reassignment Care Compare group NPD
• Emergent Physicians of Country Walk, LLC

  • Emergency Medicine Physician
  • Miami, FL
  • NPI 1114497005
  Medicare reassignment NPD
• Emergent Physicians of Doral, LLC

  • Emergency Medicine Physician
  • Miami, FL
  • NPI 1245909449
  Medicare reassignment NPD
• Sterling Emergency Services of Miami Beach PA

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1083912471
  Medicare reassignment NPD
• Sterling Emergency Services of Miami Beach PA

  • Emergency Medicine Physician
  • Miami Beach, FL
  • NPI 1659355253
  NPD
• Emergent Physicians of West Dade, LLC

  • Emergency Medicine Physician
  • Miami, FL
  • NPI 1275200537
  NPD (past)
• Ma Emergency Associates PL

  • Emergency Medicine Physician
  • Miami, FL
  • NPI 1295831584
  NPD (past)
• Marshall Amaya & Anton P L

  • Emergency Medicine Physician
  • Miami, FL
  • NPI 1669419529
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cleveland Clinic Weston Hospital Nonprofit Corporation

  • General Acute Care Hospital
  • Weston, FL
  • NPI 1083644033
  Care Compare affiliation

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1255437109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 SW 74TH ST",
            "address_2": "SUITE 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331435165",
            "telephone_number": "305-665-4614",
            "fax_number": "305-667-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 S MIAMI AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334253",
            "telephone_number": "305-665-4614",
            "fax_number": "305-667-0239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2845 Aventura Blvd",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331803118",
            "country_code": "US",
            "telephone_number": "305-692-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4300 Alton Rd",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331402948",
            "country_code": "US",
            "telephone_number": "305-481-9776",
            "fax_number": "305-674-2007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6050 W 20th Ave",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330162605",
            "country_code": "US",
            "telephone_number": "786-584-5000",
            "fax_number": "786-584-5112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "PAUL",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME82450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262547400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "03222",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Peters, M.A.,CCC-SLP
• John M. Peters, D.O.
• Kenneth Michael Peters, M.A., SLP
• Petersen Medical Corp.
• Melissa Petersen
• Amy Judith Peterson, B.S.W
• Catherine D Peterson, LCSW
• Christopher Scott Peterson, DPM
• Eric Cecala Peterson, MD
• Leslie A Peterson, PHARMACIST

• Emergency Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.