Madison Petersen, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

41387 Issued in AL

Practice address

2451 Fillingim St.
Mobile, AL 36617-2238

Phone

(251) 463-7082

NPI assigned

Apr 11, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Madison Plash Other name

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

Specialty

Anesthesiology

Education

University of Alabama School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

USA Health Anesthesia Billing Services LLCGroup PAC ID 1153659123, 160 clinicians

Lifelinc Anesthesia PLLCGroup PAC ID 0941347447, 169 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• USA Health University Hospital Hospital, Mobile, AL, CCN 010087

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• USA Health Anesthesia Billing Services, LLC

  • Anesthesiology Physician
  • Mobile, AL
  • NPI 1629635818
  Medicare reassignment Care Compare group NPD
• Lifelinc Anesthesia, PLLC

  • Anesthesiology Physician
  • Memphis, TN
  • NPI 1801021464

  AL

  Medicare reassignment Care Compare group NPD
• Anesthesiacare, P.C.

  • Anesthesiology Physician
  • Mobile, AL
  • NPI 1881099174
  Medicare reassignment NPD
• Infirmary ASC - Saraland, LLC

  • Ambulatory Surgical Clinic/Center
  • Saraland, AL
  • NPI 1578328712
  NPD (past)

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

• University of South Alabama

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1063468072
  Care Compare affiliation
• University of South Alabama

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1972138022
  Care Compare affiliation

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1790149169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 235019",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361235019",
            "telephone_number": "251-463-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 FILLINGIM ST.",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172238",
            "telephone_number": "251-463-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "MADISON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-11",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "41387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "PLASH",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kelsey Nutt Peters, DDS
• Melissa Leigh Peters, MD
• Brandon M. Peters,
• Petersen Neurospine, PLLC
• Bendt P Petersen III, M.D.
• Dylan Peterson
• Erin Peterson
• Sarah Lisa Peterson, APRN, CNP
• Petrey Chiropractic LLC
• Petrey Chiropractic, LLC

• Anesthesiology Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Anesthesiology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.