Individual provider Active NPI

Maurice Robert Peters, M.D.

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1922032564
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2300311 Issued in NY
Practice address
170 East 77TH Street
Lower Level
New York, NY 10075-1912
Phone
(212) 369-9200
Fax
(212) 369-5048
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2300311 NY Primary
Diagnostic Radiology Physician 2085R0202X 044042 CT

Addresses

Primary practice location

170 East 77TH Street
Lower Level
New York, NY 10075-1912

Mailing address

170 East 77TH Street
Lower Level
New York, NY 10075-1912
Phone (212) 369-9200

Other identifiers 2

IdentifierTypeStateIssuer
1026716600001MedicaidPA
4599021 01MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 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
I20031113000405 NY Practitioner - Diagnostic Radiology 3678487766 Reassigns benefits to 11 organizations
I20170203001757 FL Practitioner - Diagnostic Radiology 3678487766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Stanford University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Regional Center P aGroup PAC ID 9638151756, 60 clinicians
Radiology Imaging AssociatesGroup PAC ID 4587683214, 11 clinicians
Delaware Radiology Associates PAGroup PAC ID 1557620036, 61 clinicians
Community Radiology Associates IncGroup PAC ID 5991692444, 64 clinicians
Maryland Imaging Network PCGroup PAC ID 6103259304, 79 clinicians
Lenox Hill Radiology and Medical Imaging Associates PCGroup PAC ID 2264424712, 245 clinicians

Practice addresses (Care Compare)

Rye, NY 10580
Phone (239) 936-2316

Great Neck, NY 11024
Phone (239) 936-2316

1825 SE Tiffany Ave
Suite 104
Port St Lucie, FL 34952-7554
Phone (772) 398-2233

2 Indian Hill Rd
Rye, NY 10580-3510
Phone (212) 308-3076

346 W 22ND St
Apt 1
New York, NY 10011-2670
Phone (585) 218-8012

61 E 77TH St
New York, NY 10075-1817
Phone (212) 772-3111

Merit-based Incentive Payment System (MIPS)

Final score
86.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.08 of 100Reported as group
Quality
62.84
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75.64 of 100Reported as group
Quality
55.71
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.64 of 100Reported as group
Quality
75.71
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
044042CTMDDiagnostic Radiology Physician
2300311NYMDDiagnostic Radiology Physician

Practice roles (16 of 18)

OrganizationSpecialtyStatusNew patients
Radiology Regional Center P a Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients
New York Private Medical Imaging Practice, PLLC CurrentSince Mar 1, 2023 Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Delaware Radiology Associates PA Diagnostic Radiology CurrentSince Jun 15, 2023 Accepting new patients
The New Jersey Imaging Network, LLC CurrentSince Dec 12, 2023 Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Maryland Imaging Network PC Diagnostic Radiology CurrentSince Jan 10, 2024 Accepting new patients
Hudson Valley Radiology Associates PLLC Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Jan 14, 2020 Accepting new patients
Radiology Imaging Associates Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Feb 22, 2021 Accepting new patients
Radiology Regional Center, PA Diagnostic Radiology PastSince Aug 28, 2021 Accepting new patients
Johns Hopkins Community Physicians, Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Park West Radiology, PC Diagnostic Radiology PastSince Jul 1, 2008 Accepting new patients
Radiology Regional Center, PA Diagnostic Radiology PastSince Aug 28, 2021 Accepting new patients

Locations (25 of 56)

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

16220 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254

9201 E Mountain View Rd
Ste 137
Scottsdale, AZ 85258
Phone (480) 614-8555

8370 Wilshire Blvd
Ste 110
Beverly Hills, CA 90211
Phone (323) 966-0000

155 N San Vicente Blvd
Beverly Hills, CA 90211
Phone (323) 433-7800

455 Hickey Blvd
Ste 200
Daly City, CA 94015
Phone (650) 757-2030

15775 Laguna Canyon Rd
Ste 140
Irvine, CA 92618
Phone (949) 522-8120

24022 Calle de la Plata
Ste 100
Laguna Hills, CA 92653
Phone (949) 330-8996

14651 S Bascom Ave
Ste 120
Los Gatos, CA 95032
Phone (408) 356-0444

665 Munras Ave
Ste 109
Monterey, CA 93940
Phone (831) 656-9800

105 South Dr
Ste 110
Mountain View, CA 94040
Phone (650) 259-3165

1690 Barton Rd
Ste 107
Redlands, CA 92373
Phone (909) 307-1941

345 Convention Way
Ste 1-D
Redwood City, CA 94063
Phone (650) 299-9906

10111 Hole Ave
Riverside, CA 92503
Phone (650) 299-9906

225 W Hospitality Ln
Ste 102
San Bernardino, CA 92408
Phone (909) 888-5000

1180 Post St
San Francisco, CA 94109
Phone (415) 248-3700

325 Sacramento St
San Francisco, CA 94111
Phone (408) 356-9013

4144 Redwood Hwy
Ste B
San Rafael, CA 94903
Phone (415) 479-9907

1825 Civic Center Dr
Ste 1
Santa Clara, CA 95050
Phone (408) 296-5555

225 W Hospitality Ln
Ste 100
Sn Bernrdno, CA 92408
Phone (909) 890-5850

3531 Fashion Way
Ste 2
Torrance, CA 90503
Phone (310) 974-1260

9776 Bonita Beach Rd SE
Bonita Springs, FL 34135
Phone (239) 444-2200

1708 Cape Coral Pkwy W
Ste 3
Cape Coral, FL 33914
Phone (239) 541-3800

805 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 242-8010

2301 Del Prado Blvd S
Ste 420
Cape Coral, FL 33990

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 16

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.

View all 16

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": "1347926400000",
    "number": "1922032564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 EAST 77TH STREET",
            "address_2": "LOWER LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751912",
            "telephone_number": "212-369-9200",
            "fax_number": "212-369-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 EAST 77TH STREET",
            "address_2": "LOWER LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751912",
            "telephone_number": "212-369-9200",
            "fax_number": "212-369-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "MAURICE",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "2300311",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "044042",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026716600001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4599021 01",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.