Individual provider Active NPI

Eldon Peters, DPM

  • Foot & Ankle Surgery Podiatrist
  • Raleigh, NC
National Provider Identifier
1588071484
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
656 Issued in NC
Practice address
1514 Glenwood Ave
Raleigh, NC 27608-2368
Phone
(919) 829-0076
NPI assigned
Jul 13, 2014
Last updated
Feb 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 656 NC Primary
Foot & Ankle Surgery Podiatrist 213ES0103X SC006596 PA

Addresses

Primary practice location

1514 Glenwood Ave
Raleigh, NC 27608-2368

Mailing address

1514 Glenwood Ave
Raleigh, NC 27608-2368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170718000857 NC Practitioner - Podiatry 2163792557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1514 Glenwood Ave
Raleigh, NC 27608-2368
Phone (919) 829-0076

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions55
Removal of nail tissue35
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006596PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Instride Foot and Ankle Specialists, PLLC Foot & Ankle Surgery CurrentSince Sep 1, 2018 Accepting new patients
Instride Foot and Ankle Specialists, PLLC Foot & Ankle Surgery CurrentSince Sep 1, 2018 Accepting new patients

Locations

7560 Carpenter Fire Station Rd
Ste 203
Cary, NC 27519

7560 Carpenter Fire Station Rd
Ste 303A
Cary, NC 27519
Phone (919) 829-0076

1036 Branchview Dr
Ste 216
Concord, NC 28025
Phone (704) 886-1918

130 Lake Concord Rd NE
Ste B
Concord, NC 28025
Phone (704) 786-4482

1514 Glenwood Ave
Raleigh, NC 27608
Phone (919) 619-7310

1514 Glenwood Ave
#100
Raleigh, NC 27608
Phone (919) 619-7310

Interoperability endpoints

  • Direct secure messaging: eldon.peters@ifasp.eclinicaldirectplus.com
  • Direct secure messaging: eldonpeters@cfaac-nc.direct.office.nextgen.com

Organizations & group practices 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1405209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1588071484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 GLENWOOD AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276082368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 GLENWOOD AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276082368",
            "telephone_number": "919-829-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "ELDON",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-13",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "656",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006596",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.