Peter Michael Sanfelippo

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

J0663 Issued in TX

Practice address

5407 New Copeland Rd
5407 New Copeland Rd
Tyler, TX 75703-3951

Phone

(903) 509-1551

Fax

(990) 350-9155

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Peter Michael Sanfelippo Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1972653251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 NEW COPELAND RD",
            "address_2": "5407 NEW COPELAND RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033951",
            "telephone_number": "903-509-1551",
            "fax_number": "990-350-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 NEW COPELAND RD",
            "address_2": "5407 NEW COPELAND RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033951",
            "telephone_number": "903-509-1551",
            "fax_number": "990-350-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFELIPPO",
        "first_name": "PETER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TX",
            "license": "J0663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETER",
            "last_name": "SANFELIPPO",
            "middle_name": "MICHAEL",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Melena Sandifer, CPM, LM
• Jason Sandoval
• Norma Sandoval
• Sandra Harper PLLC
• Sandy Harper PC
• Clyde Fagg Sanford III, MD
• Dinesh Kumar Sangana, MD
• Suja Sanjay
• Melisa Santana
• Jennifer Horton Santibanez, PHARMD

• Occupational Medicine Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Occupational Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.