Active NPI
Alexander Chase Peterson, MD
- Emergency Medicine Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 14518
- 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, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
Practice addresses (Care Compare)
353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-8222
Hospital & facility affiliations
- Monument Health Rapid City Hospital
- Fall River Hospital - Cah
- Monument Health Custer Hospital
- Monument Health Lead-Deadwood Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56857 | KY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monument Health Network, Inc. | Current | Accepting new patients | |
| Kentucky Medical Services Foundation, Inc | Emergency Medicine | Current | Accepting new patients |
| Harrison Memorial Hospital | Current | Accepting new patients | |
| Monument Health Network, Inc. | Emergency Medicine | Current | Accepting new patients |
| Monument Health Network, Inc. | Current | Accepting new patients | |
| Harrison Memorial Hospital | Current | Accepting new patients | |
| Fall River Health Services | Current | Accepting new patients | |
| University of Kentucky | Current | Accepting new patients | |
| Rapid City Emergency Services PA | Emergency Medicine | Current | Accepting new patients |
| Fall River Health Services | Current | Accepting new patients | |
| Monument Health Network, Inc | Current | 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
- 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.
-
- Emergency Medicine Physician
- Rapid City, SD
- NPI 1780621045
-
- Clinic/Center
- Cynthiana, KY
- NPI 1386783868
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1326091448
Emergency Medicine
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
-
dba Fall River Hospital
- Critical Access Hospital
- Hot Springs, SD
- NPI 1679544555
-
dba Monument Health Custer Clinic
- Critical Access Hospital
- Custer, SD
- NPI 1871560516
-
dba Monument Health Lead-Deadwood Hospital
- Critical Access Hospital
- Deadwood, SD
- NPI 1174590806
-
dba Monument Health Hot Springs Clinic
- Multi-Specialty Clinic/Center
- Hot Springs, SD
- NPI 1588185268
-
dba HMH Primary Care
- Rural Health Clinic/Center
- Cynthiana, KY
- NPI 1588237150
-
dba Seven Sister Living Center
- Skilled Nursing Facility
- Hot Springs, SD
- NPI 1871500025
-
dba Monument Health Custer Clinic
- Family Medicine Physician
- Custer, SD
- NPI 1427243963
Emergency Medicine
-
- Physician Assistant
- Frankfort, KY
- NPI 1336586932
Hospital & facility affiliations 17
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fall River Hospital
- Critical Access Hospital
- Hot Springs, SD
- NPI 1679544555
-
dba Monument Health Custer Clinic
- Critical Access Hospital
- Custer, SD
- NPI 1871560516
-
dba Monument Health Lead-Deadwood Clinic
- Multi-Specialty Clinic/Center
- Deadwood, SD
- NPI 1033597760
Hospital
-
dba Monument Health Lead-Deadwood Hospital
- Critical Access Hospital
- Deadwood, SD
- NPI 1174590806
-
dba Monument Health Behavioral Health Center
- Psychiatric Hospital Unit
- Rapid City, SD
- NPI 1437531571
-
dba Monument Health Rapid City Urgent Care, Lacrosse Street
- Urgent Care Clinic/Center
- Rapid City, SD
- NPI 1376922591
Hospital
-
dba Monument Health Family Health Residency Clinic
- Family Medicine Physician
- Rapid City, SD
- NPI 1386022960
Hospital
-
dba Med360
- General Acute Care Hospital
- Rapid City, SD
- NPI 1437122009
-
dba Monument Health Rapid City Clinic, Flormann Street
- General Acute Care Hospital
- Rapid City, SD
- NPI 1689052862
-
dba Monument Health Rapid City Urgent Care, Jackson Boulevard
- Urgent Care Clinic/Center
- Rapid City, SD
- NPI 1730568957
Hospital
-
dba Monument Health Dermatology and Plastic Surgery
- General Acute Care Hospital
- Rapid City, SD
- NPI 1750663068
-
dba Monument Health Neurology and Rehabilitation
- General Acute Care Hospital
- Rapid City, SD
- NPI 1770982480
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.