Gregory E Peterson, D.O.

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

01984 Issued in IA

Practice address

1510 Pleasant View Dr
Des Moines, IA 50315-2126

Phone

(515) 771-2527

Fax

(855) 642-1942

NPI assigned

Jun 17, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Diagnostic & Critical Care Medicine

  • Internal Medicine Physician
  • Des Moines, IA
  • NPI 1932104593
  NPD
• Mercy Clinics Inc

  • Internal Medicine Physician
  • Des Moines, IA
  • NPI 1326062860
  NPD (past)
• Mercy Clinics, Inc.

  • Obstetrics & Gynecology Physician
  • Des Moines, IA
  • NPI 1508741505
  NPD (past)

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1447255245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 PLEASANT VIEW DR",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503152126",
            "telephone_number": "515-771-2527",
            "fax_number": "855-642-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 PLEASANT VIEW DR",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503152126",
            "telephone_number": "515-771-2527",
            "fax_number": "855-642-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "GREGORY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IA",
            "license": "01984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0237933",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peterson Family Dental, PC
• Alicia Peterson, RN
• Cynthia W Peterson, NP
• Eric M Peterson, PHARM.D.
• Evan Douglas Peterson, PA-C
• Hannah Peterson, DO
• Harold Lars Peterson, LMSW
• I Eugene Peterson, M.D.
• Jason R Peterson, R D
• Joseph Steven Peterson, D.O.

• Critical Care Medicine (Internal Medicine) Physician in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Critical Care Medicine (Internal Medicine) Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.