Individual provider Active NPI

Alexander Chase Peterson, MD

  • Emergency Medicine Physician
  • Lexington, KY
National Provider Identifier
1447887849
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
14518 Issued in SD
Practice address
1000 S Limestone
Lexington, KY 40536-0293
Phone
(859) 323-5901
Fax
(859) 323-3040
NPI assigned
Mar 25, 2020
Last updated
Sep 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Emergency Medicine Physician 207P00000X 56857 KY
Emergency Medicine Physician 207P00000X 14518 SD Primary

Addresses

Primary practice location

1000 S Limestone
Lexington, KY 40536-0293

Mailing address

800 Rose St RM M-53
Lexington, KY 40536-0293
Phone (859) 323-5083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, SD2 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

Enrollment IDStateProvider typePAC IDDetails
I20220812002912 KY Practitioner - Emergency Medicine 7719382647 Reassigns benefits to 3 organizations
I20230724003527 SD Practitioner - Emergency Medicine 7719382647 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rapid City Emergency Services PAGroup PAC ID 7315934171, 23 clinicians

Practice addresses (Care Compare)

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-8222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56857KYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Network, Inc. CurrentSince Nov 4, 2025 Accepting new patients
Kentucky Medical Services Foundation, Inc Emergency Medicine CurrentSince Jun 7, 2023 Accepting new patients
Harrison Memorial Hospital CurrentSince Feb 9, 2023 Accepting new patients
Monument Health Network, Inc. Emergency Medicine CurrentSince Nov 18, 2023 Accepting new patients
Monument Health Network, Inc. Current Accepting new patients
Harrison Memorial Hospital CurrentSince Feb 9, 2023 Accepting new patients
Fall River Health Services CurrentSince Dec 21, 2025 Accepting new patients
University of Kentucky CurrentSince Jun 7, 2023 Accepting new patients
Rapid City Emergency Services PA Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Fall River Health Services CurrentSince Dec 21, 2025 Accepting new patients
Monument Health Network, Inc CurrentSince Feb 20, 2025 Accepting new patients
Ky-I Medical Services, P.S.C. Past Accepting new patients

Locations

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

1210 KY Highway 36 E
Cynthiana, KY 41031
Phone (859) 234-2300

299 Kings Daughters Dr
Hatton, KY 40601
Phone (502) 875-5240

1000 S Limestone
Lexington, KY 40506
Phone (859) 323-5901

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

800 Rose St
Rm M53
Lexington, KY 40536
Phone (859) 323-5083

1220 Montgomery St
Custer, SD 57730
Phone (605) 673-4150

61 Charles St
Deadwood, SD 57732
Phone (605) 717-6000

1201 Highway 71 S
Hot Springs, SD 57747
Phone (605) 745-3159

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000

Interoperability endpoints

  • Direct secure messaging: apeterson33048@ukhcdirect.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1447887849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROSE ST RM M-53",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360293",
            "telephone_number": "859-323-5083",
            "fax_number": "859-323-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S LIMESTONE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360293",
            "telephone_number": "859-323-5901",
            "fax_number": "859-323-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ALEXANDER",
        "middle_name": "CHASE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "56857",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SD",
            "license": "14518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.