Individual provider Active NPI

Peter Jonathan Carlson, M.D

  • Emergency Medicine Physician
  • Houston, TX
National Provider Identifier
1548519168
Registry record updated Apr 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
P9171 Issued in TX
Practice address
6431 Fannin St
Houston, TX 77030
Phone
(713) 500-5140
NPI assigned
Aug 29, 2012
Last updated
Apr 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X BP10041003 TX
Emergency Medicine Physician 207P00000X P9171 TX Primary

Addresses

Primary practice location

6431 Fannin St
Houston, TX 77030

Mailing address

3300 Cummins St
2356
Houston, TX 77027-5893
Phone (713) 557-5992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140731000128 TX Practitioner - Emergency Medicine 3375769128 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Baylor College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of TX, PLLCGroup PAC ID 3375909351, 374 clinicians
Comal Emergency Physicians PLLCGroup PAC ID 6901259936, 81 clinicians

Practice addresses (Care Compare)

12412 Judson Rd
Live Oak, TX 78233-3255
Phone (210) 757-7000

600 N Union Ave
New Braunfels, TX 78130-4194
Phone (830) 606-9111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.62 of 100Reported as group
Quality
92.03
Improvement activities
40
Cost
85.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P9171TXMDEmergency Medicine Physician
BP10041003TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Emergency Partners LLC Emergency Medicine CurrentSince May 8, 2021 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Mar 22, 2024 Accepting new patients
Legacy Urgent Care, PA CurrentSince Apr 1, 2023 Accepting new patients
Comal Emergency Physicians, PLLC Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Premier Physicians-II, P.a. CurrentSince May 17, 2022 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Dec 1, 2021 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

330 S Denton Tap Rd
Coppell, TX 75019
Phone (469) 312-7777

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

9205 Legacy Dr
Frisco, TX 75033
Phone (972) 625-6020

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

2810 S Hardin Blvd
Ste 100
McKinney, TX 75072
Phone (972) 548-7277

555 Creekside Xing
New Braunfels, TX 78130
Phone (830) 387-4660

600 N Union Ave
New Braunfels, TX 78130
Phone (830) 606-9111

8950 N Tarrant Pkwy
North Richlnd Hls, TX 76182
Phone (817) 281-7277

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

403 Treeline Park
San Antonio, TX 78209
Phone (210) 294-8000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

1301 Wonder World Dr
San Marcos, TX 78666
Phone (512) 353-8979

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

900 Austin Ave
Ste 1001
Waco, TX 76701
Phone (254) 224-8808

9110 Jordan Ln
Ste 200
Woodway, TX 76712
Phone (254) 399-0740

Organizations & group practices 6

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396742400000",
    "number": "1548519168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 CUMMINS ST",
            "address_2": "2356",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770275893",
            "telephone_number": "713-557-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6431 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "713-500-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "PETER",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-29",
        "last_updated": "2014-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10041003",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P9171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.