NPIMap

Individual provider Active NPI

Matthew Robert Peterson, M.D.

  • Hematology & Oncology Physician
  • Uvalde, TX
National Provider Identifier
1730475351
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
R3941 Issued in TX
Practice address
1195 Garner Field Rd Ste 200
Uvalde, TX 78801-4822
Phone
(830) 278-6200
Fax
(830) 278-3359
NPI assigned
Jun 22, 2011
Last updated
Dec 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 26907 NE
Hematology & Oncology Physician 207RH0003X R3941 TX Primary

Addresses

Primary practice location

1195 Garner Field Rd Ste 200
Uvalde, TX 78801-4822

Mailing address

1195 Garner Field Rd Ste 200
Uvalde, TX 78801-4822
Phone (830) 278-6200

Other practice location 1

3551 Roger Brooke Dr
San Antonio, TX 78234
Phone (210) 916-4808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220520001939 TX Practitioner - Hematology/Oncology 6608009006 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
University of Texas Medical School at Houston, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uvalde County Hospital AuthorityGroup PAC ID 7315832722, 26 clinicians

Practice addresses (Care Compare)

1025 Garner Field Rd
Uvalde, TX 78801-4809
Phone 83027862511257

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26907NEMDInternal Medicine Physician
R3941TXMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uvalde County Hospital Authority CurrentSince Mar 22, 2023 Accepting new patients
Uvalde County Hospital Authority CurrentSince Mar 22, 2023 Accepting new patients
Uvalde County Hospital Authority Past Accepting new patients
Cardiology Clinic of San Antonio, PLLC PastSince Jul 1, 2022 Accepting new patients

Locations

1025 Garner Field Rd
Uvalde, TX 78801
Phone (830) 278-6254

1195 Garner Field Rd
Ste 200
Uvalde, TX 78801
Phone (830) 278-2469

Interoperability endpoints

  • Direct secure messaging: matthew.peterson@txo.ikm.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1730475351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 GARNER FIELD RD STE 200",
            "city": "UVALDE",
            "state": "TX",
            "postal_code": "788014822",
            "telephone_number": "830-278-6200",
            "fax_number": "830-278-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 GARNER FIELD RD STE 200",
            "city": "UVALDE",
            "state": "TX",
            "postal_code": "788014822",
            "telephone_number": "830-278-6200",
            "fax_number": "830-278-3359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3551 Roger Brooke Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78234",
            "country_code": "US",
            "telephone_number": "210-916-4808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "MATTHEW",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-22",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "26907",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "R3941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uvalde, TX

Sources for this page

Verify at the official NPI Registry.