Individual provider Active NPI

Peter W Springsteen, M.D.

  • Family Medicine Physician
  • Traverse City, MI
National Provider Identifier
1265438790
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301046107 Issued in MI
Practice address
3074 N US 31 S
Traverse City, MI 49684-4533
Phone
(231) 929-1234
Fax
(231) 935-0984
NPI assigned
Jun 21, 2005
Last updated
Dec 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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 4301046107 MI Primary

Addresses

Primary practice location

3074 N US 31 S
Traverse City, MI 49684-4533

Mailing address

3074 N US 31 S
Traverse City, MI 49684-4533
Phone (231) 929-1234

Other identifiers 13

IdentifierTypeStateIssuer
1265438790OtherMIPETER SPRINGSTEEN MD
1851344964OtherMIURGENT CARE OF TRAVERSE CITY
121593OtherMIUNITED HEALTH
38353068651OtherMICOMMUNITY CHOICE
000000010478OtherMICAP HEALTH
B45155OtherMIPRIORITY HEALTH
080B810330OtherMIBCBS OF MICHIGAN
700B810660OtherMIBLUE CARE NETWORK
080181251OtherMIRAILROAD MEDICARE
132959OtherMICARE CHOICES
4391565MedicaidMI
349386200OtherMIUS POSTAL
383530686OtherMIPPOM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Peter.Springsteen@twic.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20060628000132 MI Practitioner - Family Practice 0840191482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Center Family Medicine CurrentSince Jan 1, 2021 Accepting new patients
Munson Medical Center Current Accepting new patients
Munson Medical Center CurrentSince Jan 1, 2021 Accepting new patients
Other Office Family Medicine PastSince Apr 5, 2006 Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

3074 US 31 S
Traverse City, MI 49684
Phone (231) 642-5419

3537 W Front St
Ste A
Traverse City, MI 49684
Phone (231) 935-2525

Interoperability endpoints

  • Direct secure messaging: peter.springsteen@twic.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1265438790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3074 N US 31 S",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844533",
            "telephone_number": "231-929-1234",
            "fax_number": "231-935-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3074 N US 31 S",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844533",
            "telephone_number": "231-929-1234",
            "fax_number": "231-935-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINGSTEEN",
        "first_name": "PETER",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301046107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PETER SPRINGSTEEN MD",
            "identifier": "1265438790",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "URGENT CARE OF TRAVERSE CITY",
            "identifier": "1851344964",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH",
            "identifier": "121593",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY CHOICE",
            "identifier": "38353068651",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAP HEALTH",
            "identifier": "000000010478",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "B45155",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "080B810330",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "700B810660",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080181251",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "132959",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4391565",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US POSTAL",
            "identifier": "349386200",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPOM",
            "identifier": "383530686",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Peter.Springsteen@twic.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3074 N US 31 S",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496844533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.