Christopher Scott Peterson, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO 3056 Issued in FL

Practice address

5040 NW 7TH St Ste 635
Miami, FL 33126-3422

Phone

(305) 644-2212

Fax

(786) 475-7787

NPI assigned

Jul 7, 2006

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

Other identifiers 2

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Barry University School of Podiatric Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dora Roberts Rehabilitation CenterGroup PAC ID 0941285498, 114 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• North Bay Podiatric Associates, P.a.

  • Podiatrist
  • Miami, FL
  • NPI 1174785679
  Medicare reassignment NPD Authorized official
• Dora Roberts Rehabilitation Center

  • Rehabilitation Clinic/Center
  • Big Spring, TX
  • NPI 1760486708
  Care Compare group
• North Bay Medical Associates, P.a.

  • Geriatric Medicine (Family Medicine) Physician
  • Miami, FL
  • NPI 1083961486
  NPD (past)
• Wound Care and Limb Salvage Group of Miami PA

  • Vascular Surgery Physician
  • Miami, FL
  • NPI 1285107664
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1871525170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 NW 7TH ST STE 635",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263796",
            "telephone_number": "305-644-2212",
            "fax_number": "786-475-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 NW 7TH ST STE 635",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263422",
            "telephone_number": "305-644-2212",
            "fax_number": "786-475-7787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11855 QUAIL ROOST DR",
            "address_2": "ST. ANNE'S NURSING CENTER",
            "address_purpose": "LOCATION",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33177",
            "country_code": "US",
            "telephone_number": "305-252-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2023-04-28",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 3056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1174785679",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "CL147A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Petersen Medical Corp.
• Melissa Petersen
• Paul Lewis Petersen, MD
• Amy Judith Peterson, B.S.W
• Catherine D Peterson, LCSW
• Eric Cecala Peterson, MD
• Leslie A Peterson, PHARMACIST
• Ileana Petisco, RN
• Petit LLC
• Daphne Petit-Homme, MD

• Podiatrist in Miami, FL
• Providers in Miami, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.