NPIMap

Individual provider Active NPI

David B. Peterson, MD

  • Internal Medicine Physician
  • Westfield, MA
National Provider Identifier
1619918752
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
51297 Issued in MA
Practice address
115 W Silver St
Westfield, MA 01085-3628
Phone
(413) 568-2811
Fax
(610) 834-2862
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 51297 MA
Internal Medicine Physician 207R00000X 51297 MA Primary

Addresses

Primary practice location

115 W Silver St
Westfield, MA 01085-3628

Mailing address

819 Worcester St Ste 1
Springfield, MA 01151-1056
Phone (413) 304-2501

Other identifiers 5

IdentifierTypeStateIssuer
110198433OtherMARAILROAD MEDICARE
15373OtherMAHEALTHCARE NEW ENGLAND
000000033017OtherMABMC HEALTH NET
3054667MedicaidMA
PEJ07622OtherMABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050426001247 MA Practitioner - Internal MedicinePractitioner - Emergency Medicine 1355327578 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Tufts University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of Massachusetts LLCGroup PAC ID 4688967763, 85 clinicians
CH Specialty Services Ma PCGroup PAC ID 9931571437, 87 clinicians

Practice addresses (Care Compare)

819 Worcester St
Suite 1
Springfield, MA 01151-1056
Phone (413) 604-5201

Hospital & facility affiliations

  • Hospice Services of Western & Central Mass Hospice, Feeding Hills, MA, CCN 221576
  • Harmony Hospice LLC Hospice, Chicopee, MA, CCN 221624
  • Hospicecare in the Berkshires Hospice, Pittsfield, MA, CCN 221531
  • Fairview Hospital Hospital, Great Barrington, MA, CCN 221302
  • Berkshire Medical Center Hospital, Pittsfield, MA, CCN 220046
  • Vantage at West Springfield LLC Nursing home, West Springfield, MA, CCN 225262
  • Berkshire Rehabilitation & Skilled Care Center Nursing home, Sandisfield, MA, CCN 225771
  • Mission Care at Holyoke Nursing home, Holyoke, MA, CCN 225480
  • Vantage at Westfield LLC Nursing home, Westfield, MA, CCN 225380

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51297MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services Ma PC Internal Medicine CurrentSince Feb 1, 2023 Accepting new patients
Curana Health of Massachusetts LLC Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Vantage at West Springfield LLC Past Accepting new patients
Holyoke Retirement Community Inc. Past Accepting new patients
Bear Mt West Springfield LLC Past Accepting new patients
Berkshire Ma SNF LLC Past Accepting new patients
Westfield Gardens Nursing and Rehab LLC Past Accepting new patients
Holyoke Care Center, LLC Past Accepting new patients
Wellman Healthcare Group Inc Past Accepting new patients

Locations

819 Worcester St
Ste 1
Springfield, MA 01151
Phone (337) 408-0805

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Vantage at West Springfield LLCWest Springfield, MA, CCN 225262 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 29, 2025
Dec 29, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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 8

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1619918752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 WORCESTER ST STE 1",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011511056",
            "telephone_number": "413-304-2501",
            "fax_number": "413-789-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W SILVER ST",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010853628",
            "telephone_number": "413-568-2811",
            "fax_number": "610-834-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "DAVID",
        "middle_name": "B.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2023-02-01",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "51297",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "51297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110198433",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE NEW ENGLAND",
            "identifier": "15373",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTH NET",
            "identifier": "000000033017",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3054667",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "PEJ07622",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, MA

Sources for this page

Verify at the official NPI Registry.