Jessica Kristen Peterson, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

036151313 Issued in IL

Practice address

250 E Superior St Ste 4-2304
Chicago, IL 60611-2914

Phone

(312) 472-0436

Fax

(312) 695-5645

NPI assigned

Apr 22, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Diagnostic Radiology

Education

University of Kansas School of Med (KC/Wich/Sal), 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
• Miami County Medical Center Hospital, Paola, KS, CCN 170109

Merit-based Incentive Payment System (MIPS)

Final score

92.91 of 100Reported as apm

Quality

77.02

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jpeterson70160@direct.kuha.org

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.

• Kansas University Physicians Inc

  • Internal Medicine Physician
  • Kansas City, KS
  • NPI 1003858333

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Kansas University Physicians Inc

  • Cardiovascular Disease Physician
  • Kansas City, KS
  • NPI 1407637291
  NPD
• Kansas University Physicians Inc

  • Diagnostic Radiology Physician
  • Kansas City, KS
  • NPI 1689710519
  NPD
• Central Dupage Physician Group

  • Family Medicine Physician
  • Carol Stream, IL
  • NPI 1033149844
  NPD (past)

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

• Miami County Medical Center Inc

  • General Acute Care Hospital
  • Paola, KS
  • NPI 1700824398
  Care Compare affiliation
• University of Kansas Hospital Authority

  • General Acute Care Hospital
  • Kansas City, KS
  • NPI 1629369681
  Care Compare affiliation
• University of Kansas Hospital Authority

  • General Acute Care Hospital
  • Kansas City, KS
  • NPI 1649259656
  Care Compare affiliation

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1306266903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E SUPERIOR ST STE 4-2304",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112914",
            "telephone_number": "312-472-0436",
            "fax_number": "312-695-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E SUPERIOR ST STE 4-2304",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112914",
            "telephone_number": "312-472-0436",
            "fax_number": "312-695-5645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Kumc Radiology",
            "address_2": "3901 Rainbow Blvd MS 4032",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661600001",
            "country_code": "US",
            "telephone_number": "913-588-1874",
            "fax_number": "913-945-5062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4000 Cambridge Ave G426 Bell",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661602914",
            "country_code": "US",
            "telephone_number": "913-588-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JESSICA",
        "middle_name": "KRISTEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "0444275",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "KS",
            "license": "9408415",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036151313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jade Peterson
• Jeffrey Carl Peterson, MD, PHD
• Jennifer Peterson, PMHNP
• Jesse Peterson, PHYSICAL THERAPIST
• Jessica Aretha Peterson, M.D.
• Johna Peterson
• Joshua Garn Peterson, MD
• Kalena Peterson, PSYD., LP
• Karen D. Peterson, APN/NP
• Kelly Peterson, AGPCNP-BC

• Diagnostic Radiology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.