Individual provider Active NPI

Peter Christian Delevett, M.D.

  • General Practice Physician
  • Pensacola, FL
National Provider Identifier
1871831958
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME32402 Issued in FL
Practice address
131 W Intendencia St
Pensacola, FL 32502-5708
Phone
(850) 434-8162
Fax
(850) 434-8432
NPI assigned
Jan 23, 2013
Last updated
Jan 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME32402 FL Primary

Addresses

Primary practice location

131 W Intendencia St
Pensacola, FL 32502-5708

Mailing address

900 Fort Pickens Rd
Unit 726
Pensacola Beach, FL 32561-5202
Phone (850) 393-0833

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME32402FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Medical Center Clinic PA Past Accepting new patients
The Center for Patient Care Inc Past Accepting new patients
Our Lady of Angels, St. Joseph Medical Clinic, Inc Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1871831958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 FORT PICKENS RD",
            "address_2": "UNIT 726",
            "city": "PENSACOLA BEACH",
            "state": "FL",
            "postal_code": "325615202",
            "telephone_number": "850-393-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W INTENDENCIA ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025708",
            "telephone_number": "850-434-8162",
            "fax_number": "850-434-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEVETT",
        "first_name": "PETER",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME32402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.