Individual provider Active NPI

Howard M. Pelteson, M.D.

  • Pediatrics Physician
  • Maitland, FL
National Provider Identifier
1275522757
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME44307 Issued in FL
Practice address
800 N Maitland Ave
Suite 102
Maitland, FL 32751-4489
Phone
(407) 660-7010
Fax
(407) 660-7051
NPI assigned
Oct 18, 2005
Last updated
Jul 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME44307 FL Primary

Addresses

Primary practice location

800 N Maitland Ave
Suite 102
Maitland, FL 32751-4489

Mailing address

800 N Maitland Ave
Suite 102
Maitland, FL 32751-4489
Phone (407) 660-7010

Other identifiers 1

IdentifierTypeStateIssuer
045266100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME44307FLMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1275522757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N MAITLAND AVE",
            "address_2": "SUITE 102",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514489",
            "telephone_number": "407-660-7010",
            "fax_number": "407-660-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N MAITLAND AVE",
            "address_2": "SUITE 102",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514489",
            "telephone_number": "407-660-7010",
            "fax_number": "407-660-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTESON",
        "first_name": "HOWARD",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME44307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045266100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.