1. Home
  2. Directory
  3. California
  4. Van Nuys
  5. Pediatrics
  6. NPI Profile

PETER KOETTERS M.D.
NPI 1013943588
Pediatrics - Pediatric Critical Care Medicine in Van Nuys, CA

Active since June 24, 2006PECOS Enrolled
15107 VANOWEN ST, VAN NUYS, CA 91405(818) 902-5771 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Peter Koetters M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER KOETTERS M.D. (NPI 1013943588) is an individual pediatric critical care medicine provider in Van Nuys, California, licensed in California (A86407) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013943588
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NamePETER KOETTERSCredential: M.D.
Location Address15107 VANOWEN STVan Nuys, CA 91405-4542
Mailing Address272 El Nido AvePasadena, CA 91107-4453 · (626) 795-9235
Phone(818) 902-5771
Sole ProprietorYes
Enumeration DateJune 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1013943588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in CA · A86407
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
15107 VANOWEN ST, Van Nuys, CA 91405
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter Koetters M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Peter Koetters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Hospital Los Angeles Medical Group, Inc.
12 mi
Multi-Specialty
4650 SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Childrens Hospital Los Angeles Medical Group Inc
  • 1,281 clinicians in this Medicare group
NPI 1265530653 (323) 361-2337

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHAHRAM SHAWN FARAHVASH M.D.
Anesthesiology
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (818) 782-6600
MARINA A SALAMA MD INC
Pediatrics (Adolescent Medicine)
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (818) 782-6600
SHANNON TRAN
Nurse Practitioner
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (818) 782-6600
SARALYN MICHELLE LUNGER
Speech-Language Pathologist
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (818) 902-5752
VALLEY PRESBYTERIAN EMERGENCY MEDICAL ASSOCIATES
Emergency Medicine
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (310) 321-0143
RONALD J BELCZYK, DPM INC.
Podiatrist (Foot & Ankle Surgery)
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (818) 782-6600
KAREN EILEEN MCVEIGH M.D.
Pediatrics (Pediatric Critical Care Medicine)
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (818) 902-5771
MARVIN I RETSKY, MD AND DENNIS KASIMIAN, MD A PROFESSIONAL CORPORATION
Pathology (Anatomic Pathology & Clinical Pathology)
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (818) 905-2961

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Koetters's NPI number?

The NPI number for Peter Koetters is 1013943588. It was assigned to this individual provider in the NPPES registry on June 24, 2006.

Where is Peter Koetters located?

Peter Koetters practices at 15107 Vanowen St, Van Nuys, CA 91405. The listed phone number is (818) 902-5771.

What is Peter Koetters's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Peter Koetters enrolled in Medicare?

Yes. Peter Koetters is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Peter Koetters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Koetters reassigns Medicare benefits to Children's Hospital Los Angeles Medical Group, Inc. (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Peter Koetters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Peter Koetters was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.