Active NPI
Peter W Choo, M.D.
- Internal Medicine Physician
- Methuen, MA
National Provider Identifier
1346277886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 57709
- Practice address
- 188 Broadway Ste 1
Methuen, MA 01844-3862 - Phone
- (978) 628-3939
- Fax
- (978) 626-9494
- NPI assigned
- Jun 28, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 57709 | MA | Primary |
Addresses
Primary practice location
188 Broadway Ste 1
Methuen, MA 01844-3862
Mailing address
188 Broadway Ste 1
Methuen, MA 01844-3862
Phone (978) 628-3939
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J07206 | Other | MA | BLUE CROSS |
| V759 | Other | MA | HARVARD PILGRIM |
| 3032191 | Medicaid | MA | |
| 400382 | Other | MA | TUFTS |
| 0015347 | Other | MA | NEIGHBORHOOD HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57709 | MA | MD | Internal Medicine Physician |
Interoperability endpoints
- peter.choo.1@17195.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454544000000",
"number": "1346277886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "188 BROADWAY STE 1",
"city": "METHUEN",
"state": "MA",
"postal_code": "018443862",
"telephone_number": "978-628-3939",
"fax_number": "978-626-9494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "188 BROADWAY STE 1",
"city": "METHUEN",
"state": "MA",
"postal_code": "018443862",
"telephone_number": "978-628-3939",
"fax_number": "978-626-9494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOO",
"first_name": "PETER",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2016-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "57709",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "J07206",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "V759",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3032191",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "400382",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH",
"identifier": "0015347",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Methuen, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.