Peter William Gregor, MD | NPI 1528021235

Key facts

NPI: 1528021235
Entity type: Individual (NPI type 1)
Primary specialty: Cardiovascular Disease Physician 207RC0000X
License: 48756 (KY)
Practice address: 1301 Pleasant Valley Rd
Suite 202
Owensboro, KY 42303-9774
Phone: (270) 417-7500
Fax: (270) 417-7509
NPI assigned: Apr 11, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 9

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

Commonwealth Healthcare Corporation End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Saipan, MP · NPI 1285858290

Medicare reassignment Care Compare group NPD MP
Gregor Medical Corporation Multi-Specialty Clinic/Center · Rancho Cucamonga, CA · NPI 1275274003

Medicare reassignment NPD Authorized official CA
County of Santa Clara Mental Health Clinic/Center (Including Community Mental Health Center) · San Jose, CA · NPI 1699885079

Medicare reassignment NPD CA
Desert Medical Group, Inc. Family Medicine Physician · Palm Springs, CA · NPI 1114918612

Medicare reassignment NPD CA · FAMILY MEDICINE
Commonwealth Healthcare Corporation General Acute Care Hospital · Saipan, MP · NPI 1871616292

Care Compare group NPD
Commonwealth Healthcare Corporation Rural Health Clinic/Center · Tinian, MP · NPI 1003382854

NPD
County of Santa Clara Anesthesiology Physician · San Jose, CA · NPI 1588721500

NPD FAMILY MEDICINE
County of Santa Clara Pharmacy · San Jose, CA · NPI 1891871919

NPD
LCS Behavioral Health, Inc Behavior Analyst · Rancho Cucamonga, CA · NPI 1861885600

NPD (past)

Hospital & facility affiliations 1

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

Commonwealth Healthcare Corporation General Acute Care Hospital · Saipan, MP · NPI 1871616292

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Internal Medicine
Education: Other, 1974
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Commonwealth Healthcare Corporation (79 clinicians)

Practice addresses (Care Compare)

1 Lower Navy Hill Rd
Saipan, MP 96950
Phone (670) 234-8950

Hospital & facility affiliations

Commonwealth Health Center Hospital · Garapan, MP · CCN 660001

Medicare participation

Medicare fee-for-service enrollment: Enrolled (2 enrollments) in CA, MP
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
I20040127000252	CA	Practitioner - Cardiovascular Disease (Cardiology) Practitioner - Family Practice Practitioner - Internal Medicine	6608778840	Reassigns benefits to 3 organizations
I20220223002166	MP	Practitioner - Internal Medicine	6608778840	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

Practice roles

Organization	Specialty	Status	New patients
Commonwealth Healthcare Corporation		Current	Accepting new patients
County of Santa Clara		Current since May 15, 2013	Accepting new patients
Commonwealth Healthcare Corporation		Current since Jan 17, 2022	Accepting new patients
Commonwealth Healthcare Corporation		Current since Jan 17, 2022	Accepting new patients
County of Santa Clara		Current	Accepting new patients
County of Santa Clara	Family Medicine	Current since May 15, 2013	Accepting new patients
Gregor Medical Corporation		Current since Jun 1, 2023	Accepting new patients
Desert Medical Group, Inc.	Family Medicine	Current since Feb 16, 2019	Accepting new patients
LCS Behavioral Health, Inc		Past since Jun 1, 2023	Accepting new patients

Locations

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

275 N El Cielo Rd
Palm Springs, CA 92262
Phone (760) 320-8814

9377 Haven Ave
Ste 100
Rancho Cucamonga, CA 91730
Phone (909) 906-1505

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

750 S Bascom Ave
#1112
San Jose, CA 95128

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Cardiovascular Disease Physician	207RC0000X	48756	KY	Yes

Addresses

Primary practice location

1301 Pleasant Valley Rd
Suite 202
Owensboro, KY 42303-9774

Mailing address

PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330

Other identifiers

Identifier	Type	State	Issuer
64034291	Medicaid	KY
00C394170	Medicaid	CA

Other providers in Owensboro, KY

Amanda Greenwell, LCSW
Karon May Greenwell, L.C.S.W., L.C.A.D.C.
Yvette R Greenwell, RPH
Allison Greer, LPA
Greg L Adams DMD Ms PSC
Jennifer L Gregory, LCSW
John Robert Gregory, R.PH.
Carrie Ann Gresham, NP
Eric P. Griffin, M.D.
Mary Tim Griffin, RD

All providers in Owensboro, KY · Cardiovascular Disease Physician in Kentucky

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2016. 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.

Verify at the official NPI Registry.