Andrew Craig Peterson, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

28341 Issued in IA

Practice address

202 10TH Street SE
Cedar Rapids, IA 52403-2404

Phone

(319) 398-1721

Fax

(319) 399-2016

NPI assigned

Jul 8, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: apeterson14082@direct.unitypoint.org
• Direct secure messaging: andrew.peterson@pciowa.eclinicaldirectplus.com

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.

• Delaware County Memorial Hospital

  dba Regional Medical Center

  • Emergency Medical Services (Emergency Medicine) Physician
  • Manchester, IA
  • NPI 1326073669
  NPD
• Delaware County Memorial Hospital

  dba Regional Family Health Dyersville

  • Rural Health Clinic/Center
  • Dyersville, IA
  • NPI 1689264756
  NPD
• Delaware County Memorial Hospital

  dba Backbone Area Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manchester, IA
  • NPI 1982667929
  NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• The Finley Hospital

  dba UnityPoint Clinic

  • Family Medicine Physician
  • Dubuque, IA
  • NPI 1073560462
  NPD
• The Finley Hospital

  dba UnityPoint Health - Provider Services

  • Emergency Medicine Physician
  • Dubuque, IA
  • NPI 1134176308

  Neurology

  NPD
• Trinity Regional Medical Center

  dba UnityPoint Clinic

  • Emergency Medicine Physician
  • Fort Dodge, IA
  • NPI 1073594156
  NPD (past)

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1568460061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3178",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524063178",
            "telephone_number": "319-398-1583",
            "fax_number": "319-399-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 10TH STREET SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032404",
            "telephone_number": "319-398-1721",
            "fax_number": "319-399-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ANDREW",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IA",
            "license": "28341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "56483",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3075358",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrew.peterson@pciowa.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "275 10th St SE",
            "city": "Cedar Rapids",
            "state": "IA",
            "country_code": "US",
            "postal_code": "524032450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Peter Ruggiero DDS PC (Cedar Dental)
• Peters Legacy, Inc
• Claire Elise Petersen, MS, CCC-SLP
• Linda A Petersen, ARNP, CFNP
• Peterson Eyecare PC
• Barbara Ann Peterson, DNP, AGNP-C
• Chad D Peterson, O.D.
• Gordon Charles Peterson, D.D.S.
• Kate Noelle Peterson
• Margaret Peterson

• Neurology Physician in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Neurology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.