Individual provider Active NPI

Peter Michael Deleeuw, D.O.

  • Gastroenterology Physician
  • Huntsville, AL
National Provider Identifier
1710411541
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
DO.3357 Issued in AL
Practice address
1105 Eagletree LN SW
Huntsville, AL 35801-6447
Phone
(256) 261-2826
Fax
(256) 539-4240
NPI assigned
Apr 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X DO.3357 AL Primary

Addresses

Primary practice location

1105 Eagletree LN SW
Huntsville, AL 35801-6447

Mailing address

1105 Eagletree LN SW
Huntsville, AL 35801-6447
Phone (256) 261-2826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20230817000211 AL Practitioner - Internal MedicinePractitioner - Gastroenterology 6507228905 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
University of North Texas HSC, College of Osteopathic Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Center for Colon and Digestive Disease P CGroup PAC ID 5193781813, 15 clinicians

Practice addresses (Care Compare)

119 Longwood Dr SW
Huntsville, AL 35801-4522
Phone (256) 533-6488

Hospital & facility affiliations

  • Crestwood Medical Center Hospital, Huntsville, AL, CCN 010131
  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039
  • Marshall Medical Centers Hospital, Boaz, AL, CCN 010005
  • Highlands Medical Center Hospital, Scottsboro, AL, CCN 010061

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy76
Upper gastrointestinal (GI) endoscopy for acid reflux130

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Colon & Gastro, PC Gastroenterology CurrentSince Feb 1, 2024 Accepting new patients
The Center for Colon and Digestive Disease P C Gastroenterology CurrentSince Jun 1, 2025 Accepting new patients
Huntsville Endoscopy Center Inc CurrentSince Jun 8, 2025 Accepting new patients
Heca, LLC PastSince Jun 1, 2025 Accepting new patients

Locations

119 Longwood Dr SW
Huntsville, AL 35801
Phone (256) 533-6488

2007 Gallatin St SW
Huntsville, AL 35801
Phone (256) 519-2919

1105 Eagletree Ln SW
Huntsville, AL 35801
Phone (256) 261-2826

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADEHCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/EGJDAD

Organizations & group practices 4

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 4

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": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1710411541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 EAGLETREE LN SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016447",
            "telephone_number": "256-261-2826",
            "fax_number": "256-539-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 EAGLETREE LN SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016447",
            "telephone_number": "256-261-2826",
            "fax_number": "256-539-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEEUW",
        "first_name": "PETER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-18",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "DO.3357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.