Individual provider Active NPI

Bethany Ann Peterson, M.D.

  • Obstetrics & Gynecology Physician
  • Katy, TX
National Provider Identifier
1982863106
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
M8248 Issued in TX
Practice address
21700 Kingsland Blvd
Suite 201
Katy, TX 77450-2545
Phone
(281) 398-8639
Fax
(281) 398-5019
NPI assigned
Jun 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X M8248 TX Primary

Addresses

Primary practice location

21700 Kingsland Blvd
Suite 201
Katy, TX 77450-2545

Mailing address

21700 Kingsland Blvd
Suite 202
Katy, TX 77450-2545
Phone (281) 398-8639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100119000477 TX Practitioner - Obstetrics/Gynecology 8224170949 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Texas Tech University Health Science Center School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Colleagues of Texas LLPGroup PAC ID 5597700203, 12 clinicians

Practice addresses (Care Compare)

21700 Kingsland Blvd
Suite 201
Katy, TX 77450-2547
Phone (281) 398-7954

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M8248TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Sep 27, 2021 Accepting new patients
William a Currie MD PA Current Accepting new patients

Locations

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

21700 Kingsland Blvd
Ste 201
Katy, TX 77450
Phone (281) 398-7954

21700 Kingsland Blvd
Ste 202
Katy, TX 77450
Phone (281) 398-8639

23900 Katy Fwy
Katy, TX 77494
Phone (281) 644-7000

21700 Kingsland Blvd
Ste 203
Katy, TX 77450
Phone (281) 396-2140

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1982863106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21700 KINGSLAND BLVD",
            "address_2": "SUITE 202",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502545",
            "telephone_number": "281-398-8639",
            "fax_number": "281-398-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21700 KINGSLAND BLVD",
            "address_2": "SUITE 201",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502545",
            "telephone_number": "281-398-8639",
            "fax_number": "281-398-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "BETHANY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M8248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.