Individual provider Active NPI

Peterson Saint Cyr, MD

  • Pain Medicine Physician
  • New Port Richey, FL
National Provider Identifier
1528640976
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
ME182569 Issued in FL
Practice address
4807 US Highway 19 Ste 102
New Port Richey, FL 34652-4260
Phone
(727) 846-7618
Fax
(727) 849-7090
NPI assigned
Apr 26, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X ME182569 FL Primary

Addresses

Primary practice location

4807 US Highway 19 Ste 102
New Port Richey, FL 34652-4260

Mailing address

13346 Canopy Grove Dr Apt 304
Tampa, FL 33625-4033
Phone (727) 846-7618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20250722001148 IL Order and Referring Only - AnesthesiologyPractitioner - Anesthesiology 0749796217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1528640976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13346 CANOPY GROVE DR APT 304",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254033",
            "telephone_number": "727-846-7618",
            "fax_number": "727-849-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 US HIGHWAY 19 STE 102",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524260",
            "telephone_number": "727-846-7618",
            "fax_number": "727-849-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAINT CYR",
        "first_name": "PETERSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-26",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME182569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.