Active NPI
Paul D Peterson, DO
- Family Medicine Physician
- Sioux City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 03181
- Practice address
- 2600 Outer Dr N
Sioux City, IA 51104-1585 - Phone
- (712) 239-3300
- Fax
- (712) 239-8201
- NPI assigned
- Feb 22, 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 | 03181 | IA | Primary |
Addresses
Primary practice location
2600 Outer Dr N
Sioux City, IA 51104-1585
Mailing address
200 Gold Cir Ste 120
Dakota Dunes, SD 57049-5501
Phone (605) 217-0700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 75305796314 | Medicaid | NE | |
| 4186098 | Medicaid | IA | |
| 7786682 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2600 Outer Dr N
Sioux City, IA 51104-1585
Phone (712) 239-3300
Hospital & facility affiliations
- Aveanna Healthcare
- Unitypoint at Home
- St Croix Hospice
- St Lukes Regional Medical Center
- Bryan Medical Center
- Floyd Valley Healthcare
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 54 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 610 | NE | MD | Addiction (Substance Use Disorder) Counselor |
| 03181 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Care of Siouxland PLC | Family Medicine | Current | Accepting new patients |
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Northwest Iowa Hospital Corporation | Past | Accepting new patients | |
| Family Health Care of Siouxland LLC | Family Medicine | Past | Accepting new patients |
Locations
4230 Hamilton Blvd
Sioux City, IA 51104
Phone (712) 239-4300
814 Pierce St
Ste 300
Sioux City, IA 51101
Phone (712) 226-2600
2600 Outer Dr N
Sioux City, IA 51104
Phone (712) 239-3300
4545 Sergeant Rd
Sioux City, IA 51106
Phone (712) 274-2400
200 Gold Cir
Ste 120
Dakota Dunes, SD 57049
Interoperability endpoints
- paulpeterson@fhcs.allscriptsdirect.net
- ppeterson128354@direct.unitypoint.org
Organizations & group practices 4
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
- Sioux City, IA
- NPI 1437170685
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
dba Family Health Care Moville Clinic
- Family Medicine Physician
- Moville, IA
- NPI 1720278278
-
dba St Lukes Regional Medical Center
- General Acute Care Hospital
- Sioux City, IA
- NPI 1962594622
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Le Mars, IA
- NPI 1326109315
-
dba St Lukes Regional Medical Center
- General Acute Care Hospital
- Sioux City, IA
- NPI 1962594622
-
dba Aveanna Healthcare
- Home Health Agency
- Sioux City, IA
- NPI 1164429486
-
dba St. Croix Hospice
- Community Based Hospice Care Agency
- Spirit Lake, IA
- NPI 1659786259
-
- Home Health Agency
- Sioux City, IA
- NPI 1386745495
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1528006103
-
dba Bryan Medical Center Laboratory
- Clinical Medical Laboratory
- Lincoln, NE
- NPI 1689203077
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772150400000",
"number": "1326013426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 GOLD CIR STE 120",
"city": "DAKOTA DUNES",
"state": "SD",
"postal_code": "570495501",
"telephone_number": "605-217-0700",
"fax_number": "605-217-0701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 OUTER DR N",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511041585",
"telephone_number": "712-239-3300",
"fax_number": "712-239-8201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "PAUL",
"middle_name": "D",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2026-02-27",
"certification_date": "2026-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "03181",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "75305796314",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4186098",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7786682",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.