William Peterson, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

2010004186 Issued in MO

Practice address

6530 Troost Ave
Ste a
Kansas City, MO 64131-1230

Phone

(816) 361-0670

Fax

(816) 444-6936

NPI assigned

May 7, 2007

Last updated

Jul 20, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Kidney Associates of Kansas City PC

  • Nephrology Physician
  • Kansas City, MO
  • NPI 1710952700
  Medicare reassignment NPD
• Dialysis Clinic, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Kansas City, MO
  • NPI 1275566655
  NPD (past)

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1568674877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6530 TROOST AVE",
            "address_2": "STE A",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641311230",
            "telephone_number": "816-361-0670",
            "fax_number": "816-444-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6530 TROOST AVE",
            "address_2": "STE A",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641311230",
            "telephone_number": "816-361-0670",
            "fax_number": "816-444-6936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "2010004186",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KS",
            "license": "0434193",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "27836",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louis Hayward Peterson, MD
• Nicole Kathleen Peterson, PTA
• Olivia Audrey Peterson
• Paul Eric Peterson, BS
• Stephen Eugene Peterson, M.D.
• Michael Petite
• Toni Petralie
• Cynthia Spiliopoulou Petrie, DDS
• Diane Renee Petrie, F.N.P.-BC
• Lara Lynn Petrie, RN

• Nephrology Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Nephrology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.