Active NPI
Joseph Steven Peterson, D.O.
- Emergency Medicine Physician
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4180
- Practice address
- 1111 6TH Ave
Emergency Dept
Des Moines, IA 50314-2613 - Phone
- (515) 247-4445
- NPI assigned
- Jun 5, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 5101017206 | MI | |
| Emergency Medicine Physician | 207P00000X | 4180 | IA | Primary |
Addresses
Primary practice location
1111 6TH Ave
Emergency Dept
Des Moines, IA 50314-2613
Mailing address
PO Box 4925
Des Moines, IA 50305-4925
Phone (515) 247-4445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 247-3121
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.29 of 100
- Quality
- 80.31
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4180 | IA | MD | Emergency Medicine Physician |
| 5101017206 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shenandoah Medical Center | Emergency Medicine | Current | Accepting new patients |
| Shenandoah Medical Center | Current | Accepting new patients | |
| Des Moines River Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Des Moines River Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Shenandoah Medical Center | Current | Accepting new patients | |
| Shenandoah Medical Center | Current | Accepting new patients |
Locations
1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121
204 N 4th Ave E
Newton, IA 50208
Phone (641) 791-4800
300 Pershing Ave
Shenandoah, IA 51601
Phone (712) 246-1230
1755 59th Pl
West Des Moines, IA 50266
Phone (515) 247-4240
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Des Moines, IA
- NPI 1720472442
-
- Critical Access Hospital
- Shenandoah, IA
- NPI 1184621096
-
- Certified Registered Nurse Anesthetist
- Shenandoah, IA
- NPI 1497810972
-
- Emergency Medicine Physician
- Newton, IA
- NPI 1174907703
-
- Community/Retail Pharmacy
- Shenandoah, IA
- NPI 1447937230
-
- Emergency Medicine Physician
- Shenandoah, IA
- NPI 1497810956
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Shenandoah, IA
- NPI 1184621096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309996800000",
"number": "1972705325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4925",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503054925",
"telephone_number": "515-247-4445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 6TH AVE",
"address_2": "EMERGENCY DEPT",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503142613",
"telephone_number": "515-247-4445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "JOSEPH",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-05",
"last_updated": "2011-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "5101017206",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IA",
"license": "4180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.