Peter Robert Eckman, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G25447 Issued in CA

Practice address

3507 Alma St
Palo Alto, CA 94306-3539

Phone

(650) 493-2048

Fax

(415) 550-0620

NPI assigned

Mar 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

General Practice

Education

New York University School of Medicine, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1467579342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 ALMA ST",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943063539",
            "telephone_number": "415-648-1971",
            "fax_number": "415-550-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 ALMA ST",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943063539",
            "telephone_number": "650-493-2048",
            "fax_number": "415-550-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKMAN",
        "first_name": "PETER",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G25447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delores Eberhart, 10-14-1986
• Susanne Ebert-Khosla, LMFT
• Mohammad Ebraheem, MD
• Nadia Isabel Echeandia Rivera, COMS, CVRT
• Paul Eckinger, MD
• John Bergad Eckstein, MFTI
• Lauren Elizabeth Edelman, NP
• Susan L Edelman, MD
• Anna Edgington
• Asiri Saumya Ediriwickrema, MD

• General Practice Physician in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.

Verify at the official NPI Registry.