Individual provider Active NPI

Peter Philander, M.D.

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1437137247
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8535 Issued in NV
Practice address
2481 Professional CT
Las Vegas, NV 89128-0825
Phone
(702) 382-1599
Fax
(702) 240-4962
NPI assigned
Jan 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 8535 NV Primary

Addresses

Primary practice location

2481 Professional CT
Las Vegas, NV 89128-0825

Mailing address

2481 Professional CT
Las Vegas, NV 89128-0825
Phone (702) 382-1599

Other identifiers 3

IdentifierTypeStateIssuer
V36436OtherNVMEDICARE PTAN
003102602MedicaidNV
CS09273OtherNVPHARMACY/CDS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20160219001622 NV Order and Referring Only - Family PracticePractitioner - Family Practice 1951200252

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Philander Medical Associates, Inc. Family Medicine PastSince Feb 4, 2002 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1437137247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2481 PROFESSIONAL CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280825",
            "telephone_number": "702-382-1599",
            "fax_number": "702-240-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2481 PROFESSIONAL CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280825",
            "telephone_number": "702-382-1599",
            "fax_number": "702-240-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILANDER",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "8535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "V36436",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003102602",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY/CDS",
            "identifier": "CS09273",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.