Active NPI
Craig Andrew Peters, M.D.
- Pediatric Urology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Urology Physician
- License
- Q5901
- Practice address
- 2350 N. Stemmons Freeway
Suite F4300
Dallas, TX 75207 - Phone
- (214) 456-2444
- Fax
- (214) 456-2497
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 0101239362 | VA | |
| Pediatric Urology Physician | 2088P0231X | Q5901 | TX | Primary |
Addresses
Primary practice location
2350 N. Stemmons Freeway
Suite F4300
Dallas, TX 75207
Mailing address
1935 Medical District Drive
Mail Stop F4.04
Dallas, TX 75235
Phone (214) 456-4677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 82.87 of 100
- Quality
- 70.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101239362 | VA | MD | Urology Physician |
| Q5901 | TX | MD | Pediatric Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Past | Accepting new patients |
Locations
2350 N Stemmons Fwy
Ste F4300
Dallas, TX 75207
Phone (214) 456-2444
1935 Medical District Dr
Stop F404
Dallas, TX 75235
1935 Medical District Dr
#F404
Dallas, TX 75235
3621 22nd St
Ste 400
Lubbock, TX 79410
Phone (806) 791-8484
420 E 6th St
Ste 202
Odessa, TX 79761
Phone (214) 648-9618
7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Interoperability endpoints
- cpeters112227@direct.swmed.us
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.
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Pediatrics Physician
- Plano, TX
- NPI 1598789984
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1760452767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455840000000",
"number": "1720157365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1935 MEDICAL DISTRICT DRIVE",
"address_2": "MAIL STOP F4.04",
"city": "DALLAS",
"state": "TX",
"postal_code": "75235",
"telephone_number": "214-456-4677",
"fax_number": "214-456-8803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 N. STEMMONS FREEWAY",
"address_2": "SUITE F4300",
"city": "DALLAS",
"state": "TX",
"postal_code": "75207",
"telephone_number": "214-456-2444",
"fax_number": "214-456-2497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "CRAIG",
"middle_name": "ANDREW",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2016-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "VA",
"license": "0101239362",
"primary": false
},
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "TX",
"license": "Q5901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.