NPIMap

Individual provider Active NPI

Christopher Albert Peters, MD

  • Radiation Oncology Physician
  • Dunmore, PA
National Provider Identifier
1487831673
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD432921 Issued in PA
Practice address
1110 Meade St Ste 1
Dunmore, PA 18512-3169
Phone
(570) 504-7210
Fax
(570) 955-2213
NPI assigned
Jan 30, 2008
Last updated
Jan 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 234869-1 NY
Radiation Oncology Physician 2085R0001X MD432921 PA Primary

Addresses

Primary practice location

1110 Meade St Ste 1
Dunmore, PA 18512-3169

Mailing address

1110 Meade St Ste 1
Dunmore, PA 18512-3169
Phone (570) 504-7210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080919000413 PA Practitioner - Radiation Oncology 0648347435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Radiation Oncology CenterGroup PAC ID 9335105774, 3 clinicians

Practice addresses (Care Compare)

1110 Meade St
Dunmore, PA 18512-3169
Phone (570) 504-7200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
234869-1NYMDLicensed Practical Nurse
MD432921PAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Current Accepting new patients
Northeast Radiation Oncology Center Radiation Oncology CurrentSince Aug 1, 2008 Accepting new patients
Radiation Medicine Associates of Upper Delaware Valley PastSince Nov 17, 2010 Accepting new patients
Geisinger Clinic GYN Onc Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

1110 Meade St
Dunmore, PA 18512
Phone (570) 504-7200

1110 Meade St
Ste 1
Dunmore, PA 18512
Phone (570) 504-7200

1800 Mulberry St
Scranton, PA 18510
Phone (570) 703-7351

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079

1000 E Mountain Blvd
Wilkes Barre, PA 18711
Phone (570) 808-7399

Organizations & group practices 4

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 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1487831673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 MEADE ST STE 1",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185123169",
            "telephone_number": "570-504-7210",
            "fax_number": "570-955-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 MEADE ST STE 1",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185123169",
            "telephone_number": "570-504-7210",
            "fax_number": "570-955-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "CHRISTOPHER",
        "middle_name": "ALBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-30",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "234869-1",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD432921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunmore, PA

Sources for this page

Verify at the official NPI Registry.