Individual provider Active NPI

Jason N Peet, M.D.

  • Family Medicine Physician
  • Fredericksburg, TX
National Provider Identifier
1306880786
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K7861 Issued in TX
Practice address
110 E. Live Oak St.
Fredericksburg, TX 78624-4450
Phone
(830) 997-5559
Fax
(830) 997-5558
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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 K7861 TX Primary

Addresses

Primary practice location

110 E. Live Oak St.
Fredericksburg, TX 78624-4450

Mailing address

110 E. Live Oak St.
Fredericksburg, TX 78624-4450
Phone (830) 997-5559

Other identifiers 1

IdentifierTypeStateIssuer
105369603MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090102000318 TX Practitioner - Family Practice 3072675800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr. Jason N. Peet, M.D., P.a.Group PAC ID 9133282718, 2 clinicians

Practice addresses (Care Compare)

110 E Live Oak St
Fredericksburg, TX 78624-4450
Phone (830) 997-5559

Hospital & facility affiliations

  • Methodist Healthcare Hill Country Healthcare at Home Home health agency, Fredericksburg, TX, CCN 457216
  • Hill Country Memorial Hospital Hospital, Fredericksburg, TX, CCN 450604
  • Peterson Regional Medical Center Hospital, Kerrville, TX, CCN 450007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K7861TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Jason N. Peet, M.D., P.a. Family Medicine CurrentSince Oct 17, 2008 Accepting new patients
Cibolo Creek Allergy PA Family Medicine CurrentSince Mar 19, 2023 Accepting new patients

Locations

110 E Live Oak St
Fredericksburg, TX 78624
Phone (830) 997-4391

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1306880786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E. LIVE OAK ST.",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244450",
            "telephone_number": "830-997-5559",
            "fax_number": "830-997-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E. LIVE OAK ST.",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244450",
            "telephone_number": "830-997-5559",
            "fax_number": "830-997-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEET",
        "first_name": "JASON",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K7861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105369603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, TX

Sources for this page

Verify at the official NPI Registry.