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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: July 26, 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
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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
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
DAVID WAYNE ROGERS M.D.
Pathology (Cytopathology)
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (818) 902-2961

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.

When was this NPI record last updated?

The NPPES record for Peter Koetters was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.