Active NPI
Peter L Hoth, MD
- Family Medicine Physician
- Coralville, IA
National Provider Identifier
1912931676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 40778
- Practice address
- 920 E 2ND Ave Ste 201
Coralville, IA 52241-2225 - Phone
- (319) 384-7000
- Fax
- (319) 467-2814
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 228934 | MA | |
| Family Medicine Physician | 207Q00000X | 45959 | CO | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 45959 | CO | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 40778 | IA | |
| Family Medicine Physician | 207Q00000X | 40778 | IA | Primary |
Addresses
Primary practice location
920 E 2ND Ave Ste 201
Coralville, IA 52241-2225
Mailing address
200 Hawkins Dr
Family Medicine
Iowa City, IA 52242-1009
Phone (319) 384-7000
Other practice location 1
200 Hawkins Dr
Family Medicine
Iowa City, IA 52242-1009
Phone (319) 384-7000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020544 | Other | CO | KAISER COMMERCIAL NUMBER |
| 34122753 | Medicaid | CO |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 228934 | MA | MD | Social Worker |
| 45959 | CO | MD | Family Medicine Physician |
| 40778 | IA | MD | Sports Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523404800000",
"number": "1912931676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"address_2": "FAMILY MEDICINE",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "319-384-7000",
"fax_number": "319-467-2814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 E 2ND AVE STE 201",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522412225",
"telephone_number": "319-384-7000",
"fax_number": "319-467-2814"
}
],
"practiceLocations": [
{
"address_1": "200 Hawkins Dr",
"address_2": "Family Medicine",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522421009",
"country_code": "US",
"telephone_number": "319-384-7000",
"fax_number": "319-384-7822",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOTH",
"first_name": "PETER",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2018-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "228934",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "45959",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "CO",
"license": "45959",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "IA",
"license": "40778",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "40778",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER COMMERCIAL NUMBER",
"identifier": "020544",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34122753",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coralville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.