NPIMap

Individual provider Active NPI

Timothy N Peterson, MD

  • Family Medicine Physician
  • Homosassa, FL
National Provider Identifier
1568564243
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME80717 Issued in FL
Practice address
7945 S Suncoast Blvd
Homosassa, FL 34446-5005
Phone
(352) 382-5000
Fax
(352) 382-1940
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME80717 FL Primary

Addresses

Primary practice location

7945 S Suncoast Blvd
Homosassa, FL 34446-5005

Mailing address

7945 S Suncoast Blvd
Suite a
Homosassa, FL 34446-5005
Phone (352) 382-5000

Other identifiers 1

IdentifierTypeStateIssuer
259538900MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address TIMOTHY.PETERSON@hca4.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100809000358 FL Practitioner - Family Practice 8921131145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Hospital Family Practice LLCGroup PAC ID 2264595941, 44 clinicians

Practice addresses (Care Compare)

11375 Cortez Blvd
Spring Hill, FL 34613-5409
Phone (352) 596-6632

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus Primary Care, Inc Family Medicine CurrentSince Nov 1, 2014 Accepting new patients
Community Hospital Family Practice LLC CurrentSince Sep 17, 2019 Accepting new patients
Associated Radiologists of Inverness PA Past Accepting new patients

Locations

7945 S Suncoast Blvd
Ste A
Homosassa, FL 34446
Phone (352) 382-5000

7515 State Road 52
Ste 102
Hudson, FL 34667
Phone (727) 842-3322

123 S Seminole Ave
Inverness, FL 34452
Phone (352) 344-6700

540 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 423-1013

11375 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-4209

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

Interoperability endpoints

  • Direct secure messaging: timothy.peterson@hca4.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 12

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1568564243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7945 S SUNCOAST BLVD",
            "address_2": "SUITE A",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344465005",
            "telephone_number": "352-382-5000",
            "fax_number": "352-382-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7945 S SUNCOAST BLVD",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344465005",
            "telephone_number": "352-382-5000",
            "fax_number": "352-382-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "TIMOTHY",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME80717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259538900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TIMOTHY.PETERSON@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "7945 S Suncoast Blvd",
            "city": "Homosassa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344465005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Homosassa, FL

Sources for this page

Verify at the official NPI Registry.