CARL PETERS MD
NPI 1053403915
Family Medicine in Pacific, MO

Active since September 29, 2006
307 NOONAN DR, PACIFIC, MO 63069(636) 271-9100(636) 257-6016 Get Directions Write a Review

NPPES record last updated: July 15, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carl Peters Md NPPES

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

CARL PETERS MD (NPI 1053403915) is an individual family medicine provider in Pacific, Missouri, licensed in Illinois (036099983) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1053403915
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCARL PETERSCredential: MD
Location Address307 NOONAN DRPacific, MO 63069-1136
Mailing Address901 Patients First DriveWashington, MO 63090 · (636) 390-1400 · Fax (636) 239-5166
Fax(636) 257-6016
Sole ProprietorNo
Enumeration DateSeptember 29, 2006
Last NPPES UpdateJuly 15, 2011
NPI 1053403915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036099983
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
307 NOONAN DR, Pacific, MO 63069

Other Identifiers 8

Medicare ID-Type UnspecifiedL71591IL · Individual #
Medicare PIN129430024
Medicare UPING97354
Medicare ID-Type UnspecifiedCA2264IL · Rr Group #
Medicaid036099983IL
Medicaid205521800MO
Medicare ID-Type Unspecified080145857IL · Rr Individual #
Medicare ID-Type Unspecified833130IL · Group #

Accepted Insurance

Other Providers at the Same Location NPPES 8

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

Physical Therapist
307 NOONAN DR, SUITE 100
PACIFIC, MO 63069
Nurse Practitioner (Family)
307 NOONAN DR
PACIFIC, MO 63069
Clinic/Center (Rehabilitation)
307 NOONAN DR, STE 100
PACIFIC, MO 63069
Nurse Practitioner (Adult Health)
307 NOONAN DR
PACIFIC, MO 63069
Physical Therapist
307 NOONAN DR
PACIFIC, MO 63069
Family Medicine
307 NOONAN DR
PACIFIC, MO 63069
Physical Therapist
307 NOONAN DR, SUITE 100
PACIFIC, MO 63069
Family Medicine
307 NOONAN DR
PACIFIC, MO 63069

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 Carl Peters's NPI number?

The NPI number for Carl Peters is 1053403915. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Carl Peters located?

Carl Peters practices at 307 Noonan Dr, Pacific, MO 63069. The listed phone number is (636) 271-9100.

What is Carl Peters's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Carl Peters accept?

Health plans from AvMed list Carl Peters as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carl Peters was last updated on July 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.