Douglas Peterson, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

21014 Issued in AZ

Practice address

2585 N Wyatt Dr
Tucson, AZ 85712-6104

Phone

(520) 721-2728

Fax

(520) 721-0179

NPI assigned

Sep 22, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

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

• Adobe Gastroenterology, PC

  • Specialist
  • Tucson, AZ
  • NPI 1750595997
  Medicare reassignment NPD

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1831185040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 N WYATT DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126104",
            "telephone_number": "520-721-2728",
            "fax_number": "520-721-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 N WYATT DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126104",
            "telephone_number": "520-721-2728",
            "fax_number": "520-721-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "DOUGLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "21014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132316",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Deanne Peterson, LMT
• Arleen Peterson, MD
• Bart C Peterson, ATC
• Charles John Peterson, MD
• Christopher Luke Peterson, D.O.
• Erin Peterson, PT
• Gary Jack Peterson, LAC-23090
• Gary S Peterson, DDS
• Holly Peterson, PHARMD
• Jacquelyn Peterson, RN, BSN

• Specialist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.