Trevor Peterson, MD
Individual provider Active NPI Anesthesiology Physician · Wyoming, MI
NPI 1497289581 · NPPES record last updated Oct 29, 2025
Key facts
- NPI
- 1497289581
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 430150413 (MI)
- Practice address
- 5900 Byron Center Ave SW
Wyoming, MI 49519-9606 - Phone
- (616) 252-7200
- NPI assigned
- Apr 14, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 20
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- West Michigan Anesthesia PC
Professional Anesthesia Services of Kentucky PLLC
Sparrow Carson Hospital
Anesthesia Medical Consultants, PC
Practice addresses (Care Compare)
100 Michigan Ave NE
Grand Rapids, MI 49503-2560
Phone (616) 391-9000
200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 629-8000
4000 Kresge Way
Louisville, KY 40207-4605
Phone (502) 897-8100
406 E Elm St
Carson City, MI 48811-9693
Phone (517) 584-3131
5900 Byron Ctr Ave SW
Metro Health Hospital
Wyoming, MI 49519-9606
Phone (616) 364-4200
Hospital & facility affiliations
- Baptist Health Louisville
- University of Michigan Health - West
- University of Michigan Health-Sparrow Carson
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in MI, KY, WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210729002747 | MI | Practitioner - Anesthesiology | 3375871536 | Reassigns benefits to 10 organizations |
| I20251231003444 | KY | Practitioner - Anesthesiology | 3375871536 | Reassigns benefits to 1 organization |
| I20260302000182 | WI | Practitioner - Anesthesiology | 3375871536 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4731 | KY | MD | Anesthesiology Physician |
| 430150413 | MI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Michigan Anesthesia, PC | Anesthesiology | Current |
Accepting new patients |
| Sparrow Carson Hospital | Current |
Accepting new patients | |
| Sparrow Carson Hospital | Anesthesiology | Current |
Accepting new patients |
| Anesthesia Medical Consultants, PC | Anesthesiology | Current |
Accepting new patients |
| Edward W Sparrow Hospital Association | Current |
Accepting new patients | |
| Association of Hospital Anesthesiologists SC | Anesthesiology | Current |
Accepting new patients |
| Sparrow Carson Hospital | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Anesthesiology | Current |
Accepting new patients |
| Professional Anesthesia Services of Kentucky PLLC | Anesthesiology | Current |
Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000
406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131
321 E Harris St
Charlotte, MI 48813
Phone (517) 541-5840
100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680
4055 Cascade Rd SE
Grand Rapids, MI 49546
Phone (616) 252-4410
3333 Evergreen Dr NE
Grand Rapids, MI 49525
Phone (616) 284-3132
3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1355
80 68th St SE
Kentwood, MI 49548
Phone (616) 391-8220
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
2909 E Grand River Ave
Ste 201
Lansing, MI 48912
Phone (517) 253-3050
805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881
5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243
130 2nd St
Neenah, WI 54956
Phone (920) 729-2063
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | C4731 | KY | |
| Anesthesiology Physician | 207L00000X | 430150413 | MI | Yes |
Addresses
Primary practice location
5900 Byron Center Ave SW
Wyoming, MI 49519-9606
Mailing address
3333 Evergreen Dr NE
Grand Rapids, MI 49525-9493
Other providers in Wyoming, MI
- Buenaventura Carmen Pereyra
- Anais Perez Villar
- Molly Irene Perez
- Lori Sue Perkins
- Julie Anne Perski
- Alexus Marie Petrick
- Kyle E Pfeifer
- Thomas W Pfennig
- Barbara Elizabeth Phillips
- Morgan Phillips
All providers in Wyoming, MI · Anesthesiology Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.