Individual provider Active NPI

Peter Varghese Cherian, M.D

  • Geriatric Medicine (Internal Medicine) Physician
  • Bay Pines, FL
National Provider Identifier
1871834036
Registry record updated Sep 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
ME116258 Issued in FL
Practice address
10000 Bay Pines Blvd
Bay Pines, FL 33744-8200
Phone
(727) 398-6661
NPI assigned
Mar 12, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME116258 FL Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 76038-20 WI

Addresses

Primary practice location

10000 Bay Pines Blvd
Bay Pines, FL 33744-8200

Mailing address

6121 Kipps Colony Dr W
Gulfport, FL 33707-3969
Phone (727) 490-3468

Other practice location 1

1233 N Mayfair Rd Ste 301
Milwaukee, WI 53226-3255
Phone (414) 455-6800

Other practice location 2

N20W22961 Watertown Rd
Waukesha, WI 53186-1308
Phone (262) 875-5070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150130001268 FL Practitioner - Internal Medicine 7517281165 Reassigns benefits to 1 organization
I20210713002204 WI Practitioner - Internal Medicine 7517281165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Medical SCGroup PAC ID 0042595175, 118 clinicians

Practice addresses (Care Compare)

9047 W Greenfield Ave
Milwaukee, WI 53214-2808
Phone (414) 453-9290

Hospital & facility affiliations

  • Azura Palliative Care and Hospice Wi Hospice, Milwaukee, WI, CCN 521626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
76038-20WIMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maple Medical SC CurrentSince Jul 1, 2021 Accepting new patients
Inpatient Consultants of Florida, Inc CurrentSince Jan 1, 2015 Accepting new patients
Oak Medical SC CurrentSince Jul 1, 2021 Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Jan 1, 2015 Accepting new patients
Inpatient Consultants of Florida, Inc. Past Accepting new patients

Locations

3030 N Rocky Point Dr W
Ste 670
Tampa, FL 33607
Phone (813) 289-6597

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

N20W22961 Watertown Rd
Waukesha, WI 53186
Phone (262) 875-5070

2428 N Grandview Blvd
Ste 102
Waukesha, WI 53188
Phone (262) 875-5070

9047 W Greenfield Ave
West Allis, WI 53214
Phone (414) 453-9290

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Azura Palliative Care and Hospice Wi LLCMilwaukee, WI, CCN 521626 Hospice Contracted Managing Employee Apr 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788566400000",
    "number": "1871834036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 KIPPS COLONY DR W",
            "city": "GULFPORT",
            "state": "FL",
            "postal_code": "337073969",
            "telephone_number": "727-490-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 BAY PINES BLVD",
            "city": "BAY PINES",
            "state": "FL",
            "postal_code": "337448200",
            "telephone_number": "727-398-6661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1233 N Mayfair Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532263255",
            "country_code": "US",
            "telephone_number": "414-455-6800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "N20W22961 Watertown Rd",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531861308",
            "country_code": "US",
            "telephone_number": "262-875-5070",
            "fax_number": "866-384-9486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHERIAN",
        "first_name": "PETER",
        "middle_name": "VARGHESE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-12",
        "last_updated": "2026-09-05",
        "certification_date": "2026-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME116258",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "WI",
            "license": "76038-20",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Pines, FL

Sources for this page

Verify at the official NPI Registry.