Individual provider Active NPI

Thomas Peters, MD

  • Internal Medicine Physician
  • Henderson, NV
National Provider Identifier
1659432250
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9056 Issued in NV
Practice address
105 N Pecos Rd
Ste113
Henderson, NV 89074-1995
Phone
(702) 263-4795
Fax
(702) 263-4804
NPI assigned
Dec 13, 2006
Last updated
Sep 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9056 NV Primary

Addresses

Primary practice location

105 N Pecos Rd
Ste113
Henderson, NV 89074-1995

Mailing address

500 E Windmill LN
Ste 125
Las Vegas, NV 89123-1845
Phone (702) 263-4795

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tpetersmd@direct.sundancemedical.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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

Enrollment IDStateProvider typePAC IDDetails
I20120404000798 NV Practitioner - Internal Medicine 9830121375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Indiana University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sundance Medical Center LLPGroup PAC ID 6507844503, 2 clinicians

Practice addresses (Care Compare)

500 E Windmill LN
Suite 125
Las Vegas, NV 89123-1845
Phone 7022634795808

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sundance Medical Center LLP Internal Medicine CurrentSince Aug 1, 2001 Accepting new patients
Rebecca a. Peters, MD PC Past Accepting new patients

Locations

105 N Pecos Rd
Ste 113
Henderson, NV 89074
Phone (702) 263-4795

500 E Windmill Ln
Las Vegas, NV 89123

500 E Windmill Ln
Ste 125
Las Vegas, NV 89123
Phone (702) 263-4795

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: tpetersmd@direct.sundancemedical.nextgenshare.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1659432250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E WINDMILL LN",
            "address_2": "STE 125",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231845",
            "telephone_number": "702-263-4795",
            "fax_number": "702-263-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N PECOS RD",
            "address_2": "STE113",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741995",
            "telephone_number": "702-263-4795",
            "fax_number": "702-263-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "9056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tpetersmd@direct.sundancemedical.nextgenshare.com",
            "affiliation": "N",
            "address_1": "500 E Windmill Ln Ste 125",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891231845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.