NPIMap

Individual provider Active NPI

Melissa Peters, D.O.

  • Internal Medicine Physician
  • Centennial, CO
National Provider Identifier
1609839786
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
38154 Issued in CO
Practice address
5555 E Arapahoe Rd
Centennial, CO 80122-2312
Phone
(303) 338-4545
NPI assigned
Apr 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5156 AK
Internal Medicine Physician 207R00000X 38154 CO Primary

Addresses

Primary practice location

5555 E Arapahoe Rd
Centennial, CO 80122-2312

Mailing address

7780 S Broadway
Ste 100
Littleton, CO 80122-2633
Phone (303) 798-9996

Other identifiers 6

IdentifierTypeStateIssuer
200048563OtherAKTAX ID
DC5515OtherAKMEDICARE RAILROAD
MD3818MedicaidAK
018901OtherCOKAISER COMMERCIAL NUMBER
31676774MedicaidCO
610518100OtherAKDEPARTMENT OF LABOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20081106000831 CO Practitioner - Internal Medicine 9931013844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

205 S Garrison St
Lakewood, CO 80226-2843

502 S Closner Blvd
Edinburg, TX 78539-4660

6173 S Salida CT
Aurora, CO 80016-3222

Hospital & facility affiliations

  • Berkley Home Health Home health agency, Aurora, CO, CCN 067407
  • AdventHealth Littleton Hospital, Littleton, CO, CCN 060113
  • AdventHealth Parker Hospital, Parker, CO, CCN 060114
  • AdventHealth Porter Hospital, Denver, CO, CCN 060064

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38154COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Apr 28, 2019 Accepting new patients
Portercare Adventist Health System CurrentSince Apr 28, 2019 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Colorado Physician Partners, PLLC Internal Medicine CurrentSince Oct 11, 2021 Accepting new patients
Colorado Physician Partners, PLLC CurrentSince Oct 11, 2021 Accepting new patients
Alpine Medical Group Colorado PLLC Internal Medicine CurrentSince Sep 25, 2023 Accepting new patients
Mat-Su Valley Medical Center LLC Past Accepting new patients

Locations

999 17th St
Ste 500
Denver, CO 80202
Phone (720) 355-0539

8200 E Belleview Ave
Ste 100E
Greenwood Village, CO 80111
Phone (303) 649-3710

205 S Garrison St
Ste A
Lakewood, CO 80226
Phone (720) 728-5170

205 S Garrison St
Lakewood, CO 80226
Phone (303) 237-2779

7780 S Broadway
Ste 100
Littleton, CO 80122
Phone (303) 798-9996

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

6169 S Balsam Way
Ste 190
Littleton, CO 80123
Phone (303) 933-8240

Interoperability endpoints

  • Direct secure messaging: melissapeters@cpp.allscriptsdirect.net

Organizations & group practices 7

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 11

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1609839786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7780 S BROADWAY",
            "address_2": "STE 100",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222633",
            "telephone_number": "303-798-9996",
            "fax_number": "303-730-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 E ARAPAHOE RD",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801222312",
            "telephone_number": "303-338-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "MELISSA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AK",
            "license": "5156",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "38154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "200048563",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DC5515",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD3818",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "018901",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31676774",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "610518100",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.