Individual provider Active NPI

Peter McKinley Peer II, DO

  • Diagnostic Radiology Physician
  • Coffeyville, KS
National Provider Identifier
1669431748
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0527827 Issued in KS
Practice address
1400 W 4TH St
Coffeyville, KS 67337-3306
Phone
(989) 992-2351
Fax
(573) 755-0276
NPI assigned
Mar 20, 2006
Last updated
Jun 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 0527287 KS
Diagnostic Radiology Physician 2085R0202X 036128722 IL
Diagnostic Radiology Physician 2085R0202X 0527827 KS Primary
Diagnostic Radiology Physician 2085R0202X 5101014841 MI
Diagnostic Ultrasound Physician 2085U0001X 0527287 KS
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X 0527287 KS

Addresses

Primary practice location

1400 W 4TH St
Coffeyville, KS 67337-3306

Mailing address

1400 W 4TH St
Coffeyville, KS 67337-3306
Phone (989) 992-2351

Other identifiers 3

IdentifierTypeStateIssuer
3150910275OtherBXBS MI
4754438MedicaidMI
1669431748MedicaidMI

Other names 1

  • Peter McKinley Peer Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, MO, IL, NC, GA, OH, IN, VT, SD, NY10 enrollments
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 10

Enrollment IDStateProvider typePAC IDDetails
I20040615000066 MI Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 4082698485 Reassigns benefits to 13 organizations
I20210629003216 MO Practitioner - Diagnostic Radiology 4082698485 Reassigns benefits to 1 organization
I20210902003329 IL Practitioner - Diagnostic Radiology 4082698485 Reassigns benefits to 1 organization
I20240910001119 NC Practitioner - Diagnostic Radiology 4082698485 Reassigns benefits to 2 organizations
I20250204000930 GA Practitioner - Diagnostic Radiology 4082698485
I20250910003670 OH Practitioner - Diagnostic Radiology 4082698485 Reassigns benefits to 2 organizations
I20251023002148 IN Practitioner - Diagnostic Radiology 4082698485 Reassigns benefits to 1 organization
I20251208002331 VT Practitioner - Diagnostic Radiology 4082698485 Reassigns benefits to 1 organization
I20251216004983 SD Practitioner - Diagnostic Radiology 4082698485 Reassigns benefits to 2 organizations
I20260428002344 NY Practitioner - Diagnostic Radiology 4082698485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Missouri, Columbia School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KND Development 59 LLCGroup PAC ID 3678602802, shared by 22 NPIs, 176 clinicians
Gifford Medical Center IncGroup PAC ID 4880683663, 55 clinicians
Radiology Associates of South Carolina LLCGroup PAC ID 3779932959, 109 clinicians
Hartsville Medical Group LLCGroup PAC ID 7012062714, 78 clinicians
Radiology Associates of North Carolina PCGroup PAC ID 8628507811, 36 clinicians
Great Lakes Radiology ServicesGroup PAC ID 7113456831, 32 clinicians

Practice addresses (Care Compare)

Saginaw, MI 48603
Phone (989) 898-8729

Huron, SD 57350
Phone (605) 353-6593

2401 Southside Blvd
Greensboro, NC 27406-3311
Phone (336) 271-2800

44 S Main St
Randolph, VT 05060-1381
Phone (802) 728-7000

500 NW 68TH St
Kansas City, MO 64118-2455
Phone (816) 420-6300

6836 Pleasant Ridge TRL
Saginaw, MI 48603-8677
Phone (502) 596-7358

707 S Edwin C Moses Blvd
Dayton, OH 45417-3462
Phone (937) 331-9265

729 W Ann Arbor TRL
Suite 2
Plymouth, MI 48170-6225
Phone (800) 475-6112

8060 Knue Rd
Indianapolis, IN 46250-1976
Phone (317) 813-8900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0527287KSMDDiagnostic Neuroimaging (Radiology) Physician
0527827KSMDDiagnostic Radiology Physician
5101014841MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Med-Share, Inc Body Imaging CurrentSince Apr 1, 2013 Accepting new patients
Gifford Medical Center Inc CurrentSince Sep 27, 2025 Accepting new patients
Maui Diagnostic Imaging LLC Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
Radiology Associates of South Carolina LLC Diagnostic Radiology CurrentSince Jun 24, 2025 Accepting new patients
Oncology Hematology Associates of Northern Illinois, LTD CurrentSince Feb 23, 2025 Accepting new patients
KND Development 59, LLC CurrentSince Aug 2, 2025 Accepting new patients
Huron Regional Medical Center Inc CurrentSince Aug 18, 2025 Accepting new patients
Metrowest Imaging Center LLC CurrentSince Nov 15, 2023 Accepting new patients
Beacon Dowagiac Inc CurrentSince Sep 6, 2024 Accepting new patients
Northland Radiology Inc. Diagnostic Ultrasound CurrentSince Apr 1, 2013 Accepting new patients
Waukegan Clinic Corp CurrentSince Feb 23, 2025 Accepting new patients
Northland Radiology Inc Diagnostic Radiology CurrentSince Apr 1, 2013 Accepting new patients
Huron Regional Medical Center, Inc CurrentSince Oct 5, 2025 Accepting new patients
Huron Laboratory SVC PC Current Accepting new patients
Beacon Dowagiac Inc Diagnostic Radiology CurrentSince Sep 6, 2024 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Sep 1, 2024 Accepting new patients
Scotland Memorial Hospital Inc Diagnostic Radiology CurrentSince Sep 1, 2024 Accepting new patients
Hartsville Medical Group LLC CurrentSince May 7, 2025 Accepting new patients
KND Development 59 , LLC CurrentSince Jul 1, 2025 Accepting new patients
KND Development 59 LLC CurrentSince Jul 1, 2025 Accepting new patients
KND Development 59, LLC CurrentSince Aug 2, 2025 Accepting new patients
KND Development 59 LLC CurrentSince Jul 13, 2025 Accepting new patients
Wythe County Physician Practices LLC Diagnostic Radiology CurrentSince Jan 9, 2025 Accepting new patients
SHPS, PLLC Diagnostic Radiology CurrentSince Oct 10, 2024 Accepting new patients
Med-Share, Inc Body Imaging Current Accepting new patients
Trihealth H LLC CurrentSince Sep 1, 2025 Accepting new patients
Radiology Associates of North Carolina PC Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Great Lakes Radiology Services Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
KND Development 59, LLC CurrentSince Jul 1, 2025 Accepting new patients
Wilmington Physicians Group LLC CurrentSince May 10, 2025 Accepting new patients
DLP Western Carolina Physician Practices LLC Diagnostic Radiology CurrentSince Nov 14, 2024 Accepting new patients
Gifford Medical Center Inc. CurrentSince Sep 27, 2025 Accepting new patients
Maui Diagnostic Imaging LLC Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
KND Development 59 LLC Current Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Mdo Imaging Associates PLC Diagnostic Radiology Past Accepting new patients
Women's Wellness Center, Prof. L.L.C. Past Accepting new patients

Locations

200 S Greenleaf St
Ste L
Gurnee, IL 60031
Phone (847) 360-7888

1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000

1700 W 10th St
Indianapolis, IN 46222
Phone (317) 397-1718

8060 Knue Rd
Indianapolis, IN 46250
Phone (317) 782-6669

420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681

6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300

729 W Ann Arbor Trl
Ste 2
Plymouth, MI 48170
Phone (734) 673-3764

2601 Electric Ave
Port Huron, MI 48060
Phone (810) 216-1500

20905 Greenfield Rd
Ste 406M
Southfield, MI 48075
Phone (248) 513-8229

26222 Telegraph Rd
Southfield, MI 48033
Phone (248) 827-2557

26222 Telegraph Rd
Ste 100
Southfield, MI 48033
Phone (248) 827-3024

500 NW 68th St
Kansas City, MO 64118
Phone (816) 420-3600

2401 S Side Blvd
Greensboro, NC 27406
Phone (336) 271-2800

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

707 S Edwin C Moses Blvd
Dayton, OH 45417
Phone (937) 221-8000

172 4th St SE
Huron, SD 57350
Phone (605) 353-6593

44 S Main St
Randolph, VT 05060
Phone (802) 728-4441

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/3382/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/6237/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/8689/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ppeer2912822@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 39

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 39

Hospital & facility affiliations 5

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1669431748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W 4TH ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673373306",
            "telephone_number": "989-992-2351",
            "fax_number": "573-755-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W 4TH ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673373306",
            "telephone_number": "989-992-2351",
            "fax_number": "573-755-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEER",
        "first_name": "PETER",
        "middle_name": "MCKINLEY",
        "name_suffix": "II",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "KS",
            "license": "0527287",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036128722",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "0527827",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "5101014841",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "KS",
            "license": "0527287",
            "primary": false
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "KS",
            "license": "0527287",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BXBS MI",
            "identifier": "3150910275",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4754438",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669431748",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETER",
            "last_name": "PEER",
            "middle_name": "MCKINLEY",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Coffeyville, KS

Sources for this page

Verify at the official NPI Registry.