Individual provider Active NPI

Melissa B Peterson, MD

  • Pediatric Anesthesiology Physician
  • Aurora, CO
National Provider Identifier
1669590105
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
50290 Issued in CO
Practice address
13123 E. 16TH Avenue
The Children'S Hospital Colorado
Aurora, CO 80045-7106
Phone
(720) 777-1234
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Anesthesiology Physician 207LP3000X MT196412 PA
Pediatric Anesthesiology Physician 207LP3000X MD-55111 IA
Pediatric Anesthesiology Physician 207LP3000X 50290 CO Primary
Anesthesiology Physician 207L00000X 4301087956 MI
Anesthesiology Physician 207L00000X 236063 MA
Anesthesiology Physician 207L00000X 233371 MA

Addresses

Primary practice location

13123 E. 16TH Avenue
The Children'S Hospital Colorado
Aurora, CO 80045-7106

Mailing address

PO Box 110429
Aurora, CO 80042-0429
Phone (303) 493-7000

Other practice location 1

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-2320

Other identifiers 1

IdentifierTypeStateIssuer
09022074MedicaidCO

Other names 1

  • Dr. Melissa L Brooks Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20111018000062 CO Practitioner - AnesthesiologyPractitioner - Pediatric Medicine 7517139595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pediatric Medicine
Education
University of Michigan Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diehl Anesthesia IncGroup PAC ID 6800197575, 35 clinicians

Practice addresses (Care Compare)

7430 Park Meadows Dr
Suite 300
Littleton, CO 80124-2545
Phone (303) 706-1100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233371MAMDAnesthesiology Physician
236063MAMDAnesthesiology Physician
4301087956MIMDAnesthesiology Physician
50290COMDPediatric Anesthesiology Physician
MD-55111IAMDPediatric Anesthesiology Physician
MT196412PAMDPediatric Anesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diehl Anesthesia Inc Anesthesiology CurrentSince May 1, 2025 Accepting new patients
State University of Iowa CurrentSince Jul 16, 2025 Accepting new patients

Locations

7430 Park Meadows Dr
Ste 300
Lone Tree, CO 80124
Phone (303) 706-1100

9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1669590105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429",
            "telephone_number": "303-493-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13123 E. 16TH AVENUE",
            "address_2": "THE CHILDREN'S HOSPITAL COLORADO",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800457106",
            "telephone_number": "720-777-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "319-356-2320",
            "fax_number": "319-384-6265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "MELISSA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "PA",
            "license": "MT196412",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "IA",
            "license": "MD-55111",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "CO",
            "license": "50290",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301087956",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "236063",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "233371",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09022074",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "BROOKS",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.