Matthew Craig Peterson, M.D.

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

ME147582 Issued in FL

Practice address

2330 Utah Ave Ste 200
El Segundo, CA 90245-4817

Phone

(281) 766-0959

NPI assigned

Jun 29, 2007

Sex

Male

Sole proprietor

No

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 OH, FL2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

Loyola University of Chicago, Stritch School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Intercoastal Medical Group IncGroup PAC ID 6305730912, 176 clinicians

Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Tower Imaging LLCGroup PAC ID 2860470077, 95 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
• Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
• Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359
• Ascension Sacred Heart Bay Hospital, Panama City, FL, CCN 100026
• Tampa General Hospital Brooksville Hospital, Brooksville, FL, CCN 100071

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Tower Imaging LLC

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1467654244
  Medicare reassignment Care Compare group NPD
• Intercoastal Medical Group Inc

  • Family Medicine Physician
  • Sarasota, FL
  • NPI 1578537767
  Medicare reassignment Care Compare group
• Mori Bean and Brooks Inc

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1093782070
  Medicare reassignment Care Compare group
• Columbus Radiology Corp

  • Diagnostic Radiology Physician
  • Columbus, OH
  • NPI 1669408159
  Medicare reassignment NPD
• Florida Diagnostic Imaging Center Inc

  • Diagnostic Radiology Physician
  • Panama City, FL
  • NPI 1225096936
  NPD
• Florida Diagnostic Imaging Center Inc

  • Diagnostic Radiology Physician
  • Pensacola, FL
  • NPI 1235197930
  NPD
• Tower Imaging LLC

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1144834763
  NPD

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

• Bay County Health System, LLC

  • General Acute Care Hospital
  • Panama City, FL
  • NPI 1720078041
  Care Compare affiliation
• Sacred Heart Health System, Inc.

  • General Acute Care Hospital
  • Pensacola, FL
  • NPI 1922032424
  Care Compare affiliation
• Sarasota County Public Hospital District

  • General Acute Care Hospital
  • North Venice, FL
  • NPI 1013534445
  Care Compare affiliation
• Sarasota County Public Hospital District

  • General Acute Care Hospital
  • Sarasota, FL
  • NPI 1245294826
  Care Compare affiliation
• Tampa General Hospital Hernando LLC

  • General Acute Care Hospital
  • Brooksville, FL
  • NPI 1063294197
  Care Compare affiliation
• Tampa General Hospital Hernando, LLC

  • General Acute Care Hospital
  • Spring Hill, FL
  • NPI 1275305013
  Care Compare affiliation

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1316144710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 N ELM ST",
            "address_2": "SUITE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274016302",
            "telephone_number": "336-274-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 UTAH AVE STE 200",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454817",
            "telephone_number": "281-766-0959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "471 E Broad St Ste 1400",
            "address_2": "COLUMBUS RADIOLOGY",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432153806",
            "country_code": "US",
            "telephone_number": "614-228-7231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "MATTHEW",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35121718",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "OH",
            "license": "35.121718",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME147582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skylar Person
• Anish Thomas Peter, ANISH PETER
• Katelyn Peters
• Nicholas Peters
• Linda Peterson, M.A., CCC
• Shalanda Peterson
• Isabella Patricia Petrini
• Lorna Angela Petschelt
• Sara Pezeshkpour
• Crystal Pezzat

• Vascular & Interventional Radiology Physician in El Segundo, CA
• Providers in El Segundo, CA by specialty
• Vascular & Interventional Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.