Individual provider Active NPI

Aaron M Petersen, MD

  • Ophthalmology Physician
  • Casa Grande, AZ
National Provider Identifier
1972575140
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
32807 Issued in AZ
Practice address
560 N Camino Mercado Ste 1
Casa Grande, AZ 85122-5759
Phone
(520) 426-9224
Fax
(602) 508-4830
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 32807 AZ Primary

Addresses

Primary practice location

560 N Camino Mercado Ste 1
Casa Grande, AZ 85122-5759

Mailing address

63 S Rockford Dr Ste 220
Tempe, AZ 85288-6226
Phone (480) 892-8400

Other practice location 1

4800 N 22nd St Ste 120
Phoenix, AZ 85016-4962
Phone (602) 955-1000

Other identifiers 1

IdentifierTypeStateIssuer
883323MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040817000880 AZ Practitioner - Ophthalmology 1951374073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Arizona College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwestern Eye Center LTDGroup PAC ID 1850296989, 116 clinicians

Practice addresses (Care Compare)

1055 S Stapley Dr
Mesa, AZ 85204-5013
Phone (480) 833-9100

Merit-based Incentive Payment System (MIPS)

Final score
88.66 of 100Reported as group
Quality
84.9
Promoting interoperability
100
Improvement activities
40
Cost
77.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1087

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32807AZMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Eye Center LTD Ophthalmology CurrentSince Jul 1, 2004 Accepting new patients
Southwestern Eye Center, LTD CurrentSince Jul 1, 2004 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Ophthalmology Past Accepting new patients
Southwestern Eye Center LTD Past Accepting new patients

Locations (25 of 50)

41810 N Venture Dr
Ste E152
Anthem, AZ 85086
Phone (623) 584-9295

110 S Idaho Rd
Ste 160
Apache Junction, AZ 85119
Phone (480) 982-0241

110 S Idaho Rd
Ste 260
Apache Junction, AZ 85119
Phone (480) 485-9580

3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555

560 N Camino Mercado
Ste 1
Casa Grande, AZ 85122
Phone (520) 426-9224

560 N Camino Mercado
Casa Grande, AZ 85122

399 W Palomino Rd
Chino Valley, AZ 86323
Phone (928) 636-5504

371 W Central Ave
Coolidge, AZ 85128
Phone (520) 723-3000

270 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-4202

350 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 779-0500

5285 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 903-0922

101 S La Canada Dr
Ste 18
Green Valley, AZ 85614
Phone (520) 625-5673

1919 Florence Ave
Kingman, AZ 86401
Phone (520) 753-5454

5658 Highway 260
Ste 3
Lakeside, AZ 85929
Phone (928) 537-5614

40 Capri Blvd
Ste 102
Lk Havasu Cty, AZ 86403
Phone (520) 758-2020

2005 Injo Dr
Ste 102
Lk Havasu Cty, AZ 86403
Phone (928) 505-3696

383 Lake Havasu Ave S
Lk Havasu Cty, AZ 86403
Phone (928) 680-1144

2610 E University Dr
Mesa, AZ 85213

1055 S Stapley Dr
Mesa, AZ 85204
Phone (480) 833-9100

160 W University Dr
Mesa, AZ 85201
Phone (480) 833-0014

5250 E Southern Ave
Mesa, AZ 85206
Phone (480) 420-1005

4760 E Falcon Dr
Mesa, AZ 85215
Phone (480) 985-7400

160 W University Dr
Ste 1
Mesa, AZ 85201
Phone (480) 833-0014

4760 E Falcon Dr
Ste 101
Mesa, AZ 85215
Phone (480) 985-7400

1815 N Mastick Way
Nogales, AZ 85621
Phone (520) 761-3533

Interoperability endpoints

  • Direct secure messaging: aaron.petersen@direct.avp.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1972575140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 S ROCKFORD DR STE 220",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852886226",
            "telephone_number": "480-892-8400",
            "fax_number": "602-508-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 N CAMINO MERCADO STE 1",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225759",
            "telephone_number": "520-426-9224",
            "fax_number": "602-508-4830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 N 22nd St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850164962",
            "country_code": "US",
            "telephone_number": "602-955-1000",
            "fax_number": "602-508-4830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "AARON",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "32807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "883323",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

Verify at the official NPI Registry.