Individual provider Active NPI

Noel Peterson, MD

  • Cardiovascular Disease Physician
  • Greenville, NC
National Provider Identifier
1891780763
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2005-00812 Issued in NC
Practice address
2090 W Arlington Blvd
Suite B
Greenville, NC 27834-5727
Phone
(252) 757-3333
Fax
(252) 752-1786
NPI assigned
Sep 15, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 2005-00812 NC Primary

Addresses

Primary practice location

2090 W Arlington Blvd
Suite B
Greenville, NC 27834-5727

Mailing address

2090 W Arlington Blvd
Suite B
Greenville, NC 27834-5727
Phone (252) 757-3333

Other identifiers 2

IdentifierTypeStateIssuer
I3929OtherNCBCBS NC
5901348MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20050817000851 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7810927035 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Cardiology PAGroup PAC ID 8921177825, 4 clinicians
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

2090 W Arlington Blvd B
Greenville, NC 27834-5727
Phone (252) 757-3333

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 847-1757

Hospital & facility affiliations

  • Ecu Health Medical Center Hospital, Greenville, NC, CCN 340040
  • Ecu Health Bertie Hospital Hospital, Windsor, NC, CCN 341304
  • Vidant Roanoke Chowan Hospital Hospital, Ahoskie, NC, CCN 340099
  • Vidant Edgecombe Hospital Hospital, Tarboro, NC, CCN 340107
  • Vidant Duplin Hospital Hospital, Kenansville, NC, CCN 340120

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
83.3 of 100Reported as group
Quality
74.21
Improvement activities
40
Cost
78.72

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Oct 1, 2017 Accepting new patients
Eastern Cardiology PA CurrentSince Oct 1, 2010 Accepting new patients

Locations

2090 W Arlington Blvd
Ste B
Greenville, NC 27834
Phone (252) 757-3333

600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111

2310 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 847-6611

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

111 Hospital Dr
Tarboro, NC 27886
Phone (252) 641-7700

Interoperability endpoints

  • Direct secure messaging: noelpeterson@ecpa.allscriptsdirect.net

Organizations & group practices 2

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 6

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1891780763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 W ARLINGTON BLVD",
            "address_2": "SUITE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345727",
            "telephone_number": "252-757-3333",
            "fax_number": "252-752-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 W ARLINGTON BLVD",
            "address_2": "SUITE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345727",
            "telephone_number": "252-757-3333",
            "fax_number": "252-752-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "NOEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-15",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2005-00812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "I3929",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901348",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.