Individual provider Active NPI

Chad Garth Peterson, CRNA

  • Certified Registered Nurse Anesthetist
  • Phoenix, AZ
National Provider Identifier
1659569341
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA0617 Issued in AZ
Practice address
1800 E Van Buren St
Phoenix, AZ 85006-3742
Phone
(602) 251-8100
NPI assigned
Oct 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X CRNA0617 AZ Primary

Addresses

Primary practice location

1800 E Van Buren St
Phoenix, AZ 85006-3742

Mailing address

1754 E Balsam PL
Chandler, AZ 85286-2100
Phone (480) 772-9425

Other practice location 1

5300 Windflower Ln
Highlands Ranch, CO 80130-8938
Phone (303) 471-1490

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090420000158 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547345761 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Anesthesia Services PLLCGroup PAC ID 3971850892, 49 clinicians

Practice addresses (Care Compare)

3929 E Bell Rd
Phoenix, AZ 85032-2112
Phone (623) 923-5000

Hospital & facility affiliations

  • Abrazo Scottsdale Campus Hospital, Phoenix, AZ, CCN 030083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
CRNA0617AZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Anesthesia Solutions Single Specialty CurrentSince May 23, 2014 Accepting new patients
Summit Anesthesia Services PLLC Single Specialty CurrentSince Aug 1, 2018 Accepting new patients
Ascend Anesthesia LLC Single Specialty CurrentSince Jun 1, 2025 Accepting new patients
Dec Anesthesia LLC Single Specialty CurrentSince Aug 7, 2017 Accepting new patients
Anesthesia Partners & Management LLC Single Specialty CurrentSince Sep 1, 2018 Accepting new patients
Gateway Anesthesia and Pain Associates PLLC Single Specialty CurrentSince Apr 1, 2009 Accepting new patients
Pinnacle Global Health LLC Past Accepting new patients
Mesa Az Endoscopy ASC LLC PastSince Oct 17, 2021 Accepting new patients

Locations

1020 N San Francisco St
Ste 100
Flagstaff, AZ 86001
Phone (928) 774-2300

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

1301 S Crismon Rd
#C
Mesa, AZ 85209

603 W Baseline Rd
Ste 101
Mesa, AZ 85210
Phone (480) 969-0405

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

7301 N 16th St
Ste 102
Phoenix, AZ 85020
Phone (602) 772-8600

1902 W Union Hills Dr
Unit 41550
Phoenix, AZ 85080

3900 E Camelback Rd
Ste 190
Phoenix, AZ 85018
Phone (888) 724-6236

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

1902 W Union Hills Dr
Unit 41340
Phoenix, AZ 85080

1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100

5430 Distinction Way
Prescott, AZ 86301
Phone (928) 445-1919

3100 Clearwater Dr
Ste B
Prescott, AZ 86305

3110 Clearwater Dr
Prescott, AZ 86305
Phone (623) 241-6185

1704 W Anklam Rd
Ste 108
Tucson, AZ 85745
Phone (623) 241-6185

Organizations & group practices 8

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 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": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1659569341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1754 E BALSAM PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852862100",
            "telephone_number": "480-772-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E VAN BUREN ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850063742",
            "telephone_number": "602-251-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5300 Windflower Ln",
            "address_purpose": "LOCATION",
            "city": "Highlands Ranch",
            "state": "CO",
            "postal_code": "801308938",
            "country_code": "US",
            "telephone_number": "303-471-1490",
            "fax_number": "303-471-1535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CHAD",
        "middle_name": "GARTH",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA0617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.