Active NPI
Tracey K Peatross, M.D.
- Obstetrics & Gynecology Physician
- Yuma, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 38225
- Practice address
- 2400 S Avenue a
Yuma, AZ 85364-7170 - Phone
- (928) 344-2000
- NPI assigned
- Dec 23, 2005
- Last updated
- Feb 5, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 38225 | AZ | Primary |
Addresses
Primary practice location
2400 S Avenue a
Yuma, AZ 85364-7170
Mailing address
1530 E Williams Field Rd Ste 201
Gilbert, AZ 85295-1825
Phone (480) 914-0013
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 361562 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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 Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38225 | AZ | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Luis Walk-in Clinic, Inc. | Current | Accepting new patients | |
| San Luis Walk-in Clinic, Inc. | Current | Accepting new patients | |
| San Luis Walk-in Clinic, Inc. | Current | Accepting new patients | |
| Yuma Regional Medical Center | Current | Accepting new patients | |
| San Luis Walk-in Clinic, Inc. | Past | Accepting new patients | |
| Albert T. Domingo Ms MD Inc | Past | Accepting new patients | |
| Meridia Medical Group, LLC | Past | Accepting new patients | |
| Uhhs Bedford | Past | Accepting new patients |
Locations
601 W Riverside Dr
Ste 4
Parker, AZ 85344
Phone (928) 256-4110
214 W Main St
Somerton, AZ 85350
Phone (928) 627-1120
2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- tpeatross673213@hisp.ehr.sutterhealth.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Onvida Health Yuma Medical Center
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
-
- Rural Health Clinic/Center
- San Luis, AZ
- NPI 1104228337
-
dba Children Integrated Care Services
- Rural Health Clinic/Center
- Somerton, AZ
- NPI 1063274868
-
dba San Luis Urgent Care
- Urgent Care Clinic/Center
- San Luis, AZ
- NPI 1083229843
-
dba San Luis Urgent Care
- Urgent Care Clinic/Center
- San Luis, AZ
- NPI 1144680455
-
- Specialist
- Canton, OH
- NPI 1164582631
-
- Specialist
- Warrensville Heights, OH
- NPI 1316992944
-
- Internal Medicine Physician
- Bedford, OH
- NPI 1811933419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707091200000",
"number": "1730166349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 E WILLIAMS FIELD RD STE 201",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852951825",
"telephone_number": "480-914-0013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 S AVENUE A",
"city": "YUMA",
"state": "AZ",
"postal_code": "853647170",
"telephone_number": "928-344-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEATROSS",
"first_name": "TRACEY",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-23",
"last_updated": "2024-02-05",
"certification_date": "2024-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AZ",
"license": "38225",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "361562",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.