Trevor H Peck, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

N7477 Issued in TX

Practice address

2411 Fountain View Dr
Ste. 200
Houston, TX 77057-4817

Phone

(713) 620-4000

NPI assigned

Jun 5, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX, LA2 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

Specialty

Anesthesiology

Education

Louisiana State University School of Medicine in New Orleans, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians

Anesthesiology and Pain Consultants LLCGroup PAC ID 3870490402, 48 clinicians

Youngs Professional Services LLCGroup PAC ID 2163524992, 297 clinicians

Los Anesthesia Services LLCGroup PAC ID 0345760666, 10 clinicians

Anesthesia Partners of San Antonio PLLCGroup PAC ID 3476094111, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Park Place Surgical Hospital Hospital, Lafayette, LA, CCN 190255
• Foundation Surgical Hospital of San Antonio Hospital, San Antonio, TX, CCN 670054

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 38)

Interoperability endpoints

• Direct secure messaging: trevor.peck.1@30620.direct.athenahealth.com
• Direct secure messaging: tpeck1454601@direct.ochsner.org

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.

• Anesthesia Partners of San Antonio, PLLC

  • Anesthesiology Physician
  • San Antonio, TX
  • NPI 1518797091
  Medicare reassignment Care Compare group NPD
• Emergenchealth PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1467970897
  Medicare reassignment Care Compare group NPD
• Los Anesthesia Services LLC

  • Anesthesiology Physician
  • Lafayette, LA
  • NPI 1508687419
  Medicare reassignment Care Compare group NPD
• Youngs Professional Services LLC

  • Certified Registered Nurse Anesthetist
  • New Iberia, LA
  • NPI 1922178599
  Medicare reassignment Care Compare group NPD
• Anesthesiology & Pain Consultants, LLC

  • Anesthesiology Physician
  • Lafayette, LA
  • NPI 1841287901
  Medicare reassignment Care Compare group
• Opelousas General Health System Physician Practices

  • Family Medicine Physician
  • Opelousas, LA
  • NPI 1295098747

  Anesthesiology

  Medicare reassignment NPD
• Zephyr Anesthesia, LLC

  • Anesthesiology Physician
  • La Place, LA
  • NPI 1891087458
  Medicare reassignment NPD
• Los Orthopaedic and Spine Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Lafayette, LA
  • NPI 1457127938
  NPD
• Opelousas General Health System

  • Surgery Physician
  • Opelousas, LA
  • NPI 1053317016
  NPD
• Opelousas General Health System

  • Surgery Physician
  • Opelousas, LA
  • NPI 1275794679
  NPD
• Opelousas General Health System Physician Practices

  • Family Medicine Physician
  • Opelousas, LA
  • NPI 1003164054
  NPD (past)

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

• Foundation Bariatric Hospital of San Antonio, LLC

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1932284411
  Care Compare affiliation
• Park Place Surgery Center, LLC

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1215996632
  Care Compare affiliation

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395360000000",
    "number": "1992964936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 FOUNTAIN VIEW DR",
            "address_2": "STE. 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770574817",
            "telephone_number": "713-620-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 FOUNTAIN VIEW DR",
            "address_2": "STE. 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770574817",
            "telephone_number": "713-620-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "TREVOR",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2014-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "N7477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "314833001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "314833002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8DQ685",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1100595",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Pecina
• Beverly Pecina
• Dannlleshia Peck
• Darren Peck, L.M.T, L.M.T.I
• Kenadie Peck, LPC
• Enitan M Pecku
• Chad Pecot, MD
• Grant Benjamin Pector, D.C.
• Navya Sai Peddireddy
• Elena Peden

• Anesthesiology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.

Verify at the official NPI Registry.