Active NPI
Jason N Peet, M.D.
- Family Medicine Physician
- Fredericksburg, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K7861
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105369603 | Medicaid | TX |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
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
- Hill Country Memorial Hospital
- Peterson Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K7861 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Jason N. Peet, M.D., P.a. | Family Medicine | Current | Accepting new patients |
| Cibolo Creek Allergy PA | Family Medicine | Current | 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.
-
- Family Medicine Physician
- Fredericksburg, TX
- NPI 1467603944
Family Medicine, TX
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Fredericksburg, TX
- NPI 1770284135
-
- General Acute Care Hospital
- Fredericksburg, TX
- NPI 1376256354
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.