Kyle Petersen, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS11815 Issued in FL

Practice address

55 Weston Rd Ste 101
Weston, FL 33326-1112

Phone

(954) 280-2230

Fax

(954) 960-6355

NPI assigned

Aug 10, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Family Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Raulerson Hospital Hospital, Okeechobee, FL, CCN 100252
• HCA Florida Lehigh Hospital Hospital, Lehigh Acres, FL, CCN 100107
• Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HBDAED
• Direct secure messaging: kyle.petersen@787923830898692.direct.elationemr.com

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.

• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180
  Medicare reassignment Care Compare group NPD
• Afc Florida, LLC

  dba American Family Care

  • Urgent Care Clinic/Center
  • Pace, FL
  • NPI 1205268208

  Family Medicine

  Medicare reassignment NPD
• Bellux Medical and Aesthetics Group, LLC

  • Family Nurse Practitioner
  • Davie, FL
  • NPI 1649052259
  Medicare reassignment NPD
• Cogent Healthcare of Jacksonville, LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1124252333

  Family Medicine

  Medicare reassignment NPD
• Larkin Emergency Physicians LLC

  • Emergency Medicine Physician
  • Hialeah, FL
  • NPI 1831558626
  Medicare reassignment NPD
• MD Now Medical Centers Inc

  • Urgent Care Clinic/Center
  • West Palm Beach, FL
  • NPI 1033195474
  Medicare reassignment NPD
• Nsi Broward LLC

  • General Practice Physician
  • Weston, FL
  • NPI 1295203784
  Medicare reassignment NPD
• Small Hospital Innovations LLC

  • Emergency Medicine Physician
  • Clewiston, FL
  • NPI 1184040560
  Medicare reassignment NPD
• Sound Physicians of Florida IV, LLC

  • Internal Medicine Physician
  • Palm Coast, FL
  • NPI 1740633635

  Family Medicine

  Medicare reassignment NPD
• Healing Hands Medical Office Inc

  • Family Medicine Physician
  • Plantation, FL
  • NPI 1508321076
  NPD Authorized official
• Kyle Care Medical, LLC.

  • Family Medicine Physician
  • Hollywood, FL
  • NPI 1932763208
  NPD Authorized official
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459

  FL

  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Boca Raton Regional Hospital, Inc.

  • General Acute Care Hospital
  • Boca Raton, FL
  • NPI 1902826779
  Care Compare affiliation
• Hope 97 LLC

  dba HCA Florida Lehigh Hospital

  • General Acute Care Hospital
  • Lehigh Acres, FL
  • NPI 1982426615
  Care Compare affiliation
• Okeechobee Hospital, Inc.

  dba HCA Florida Raulerson Hospital

  • General Acute Care Hospital
  • Okeechobee, FL
  • NPI 1215974134
  Care Compare affiliation

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1790032530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WESTON RD STE 101",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333261112",
            "telephone_number": "954-280-2230",
            "fax_number": "954-960-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WESTON RD STE 101",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333261112",
            "telephone_number": "954-280-2230",
            "fax_number": "954-960-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-10",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS11815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin M Perry, M.D.
• Tacita Persad-Maharaj, AUD.
• Ati Persad, APRN
• Mubashir Pervez, M.D
• Nelly Yolanda Pestana Pestana
• Andrea Maria Petrucci, M.D.C.M.
• Maria T Petta, P.A.-C.
• Phuc Phan
• Philip-ABA Therapy Center Inc
• Shirly Philip, ARNP

• Family Medicine Physician in Weston, FL
• Providers in Weston, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.

Verify at the official NPI Registry.