Tristan Ross Peregrino Fowler, DO

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

05-43441 Issued in KS

Practice address

1013 N Main St
Sikeston, MO 63801-5043

Phone

(573) 472-7535

Fax

(573) 472-7787

NPI assigned

Jun 18, 2016

Sex

Male

Sole proprietor

Yes

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.

• Missouri Delta Medical Center

  • Internal Medicine Physician
  • Sikeston, MO
  • NPI 1508967860

  MO

  Medicare reassignment Care Compare group NPD
• Big Springs Medical Association

  • Federally Qualified Health Center (FQHC)
  • Van Buren, MO
  • NPI 1225045321

  MO

  Medicare reassignment NPD
• Missouri Delta Medical Center

  • General Acute Care Hospital
  • Sikeston, MO
  • NPI 1831269539
  Care Compare group NPD (past)
• Missouri Delta Medical Center

  • Rural Health Clinic/Center
  • Sikeston, MO
  • NPI 1013236421
  Care Compare group
• Missouri Delta Medical Center

  • Rural Health Clinic/Center
  • Caruthersville, MO
  • NPI 1083505838
  Care Compare group
• Missouri Delta Medical Center

  • Rural Health Clinic/Center
  • Sikeston, MO
  • NPI 1134430176
  Care Compare group
• Missouri Delta Medical Center

  • Psychiatric Hospital Unit
  • Sikeston, MO
  • NPI 1164592861
  Care Compare group
• Missouri Delta Medical Center

  • Rural Health Clinic/Center
  • Sikeston, MO
  • NPI 1174789549
  Care Compare group
• Missouri Delta Medical Center

  • Pharmacy
  • Sikeston, MO
  • NPI 1184217077
  Care Compare group
• Missouri Delta Medical Center

  • Durable Medical Equipment & Medical Supplies
  • Sikeston, MO
  • NPI 1215240965
  Care Compare group
• Missouri Delta Medical Center

  • Rural Health Clinic/Center
  • Chaffee, MO
  • NPI 1427572007
  Care Compare group
• Missouri Delta Medical Center

  • Rural Health Clinic/Center
  • Portageville, MO
  • NPI 1568703130
  Care Compare group

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

• Missouri Delta Medical Center

  • General Acute Care Hospital
  • Sikeston, MO
  • NPI 1831269539

  Hospital

  Care Compare affiliation

Specialty

Obstetrics/Gynecology

Education

Kansas City University of Med & Biosciences, College of Osteo Med, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Missouri Delta Medical Center 134 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Missouri Delta Medical Center Hospital, Sikeston, MO, CCN 260113

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in MO

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 Osteopathy

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 2, 2025.

{
    "created_epoch": "1466208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1881044006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 N MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015043",
            "telephone_number": "573-472-7535",
            "fax_number": "573-472-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 N MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015043",
            "telephone_number": "573-472-7535",
            "fax_number": "573-472-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "TRISTAN",
        "middle_name": "ROSS PEREGRINO",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-18",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "05-43441",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101022338",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Anne Foote, MS OTR/L
• Alexa Fornkohl
• Abigail Guirnela Fortich, RPT
• Miranda Kaylen Foshee, PMHNP-BC
• Tammy S Fowler, FNP
• Cara Rene Frazier, COTA/L
• Rylie Ashlyn Frizzell, COTA/L
• Boris Frohman, MD
• Lydia St. Clair Frye, LPC
• Holly Nicole Fults, OTR/L

• All providers in Sikeston, MO
• Obstetrics & Gynecology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.