Active NPI
James L Peters, M.D.
- Family Medicine Physician
- Shelbyville, IN
National Provider Identifier
1821091935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01026337A
- Practice address
- 30 W Rampart St
Ste 210
Shelbyville, IN 46176-8897 - Phone
- (317) 398-0121
- Fax
- (317) 398-2335
- NPI assigned
- May 23, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01026337A | IN | Primary |
Addresses
Primary practice location
30 W Rampart St
Ste 210
Shelbyville, IN 46176-8897
Mailing address
30 W Rampart St
Ste 210
Shelbyville, IN 46176-8897
Phone (317) 398-0121
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100321420A | Medicaid | IN | |
| P00459131 | Other | IN | RAILROAD MEDICARE PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01026337A | IN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389657600000",
"number": "1821091935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 W RAMPART ST",
"address_2": "STE 210",
"city": "SHELBYVILLE",
"state": "IN",
"postal_code": "461768897",
"telephone_number": "317-398-0121",
"fax_number": "317-398-2335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 W RAMPART ST",
"address_2": "STE 210",
"city": "SHELBYVILLE",
"state": "IN",
"postal_code": "461768897",
"telephone_number": "317-398-0121",
"fax_number": "317-398-2335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "JAMES",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2014-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01026337A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100321420A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "P00459131",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shelbyville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.