DR. SYDNEY MARIE PETERS MD
NPI 1104755628
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since May 19, 2026PECOS Enrolled
400 E EISENHOWER PKWY STE B, ANN ARBOR, MI 48108(734) 539-5080 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sydney Marie Peters Md NPPES

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

DR. SYDNEY MARIE PETERS MD (NPI 1104755628) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (4351055606) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104755628
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. SYDNEY MARIE PETERSCredential: MD
Location Address400 E EISENHOWER PKWY STE BAnn Arbor, MI 48108-3302
Mailing Address1200 E Hospital Dr. D3230Ann Arbor, MI 48109 · (734) 647-1774
Sole ProprietorNo
Enumeration DateMay 19, 2026
NPPES CertifiedMay 12, 2026
NPI 1104755628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in MI · 4351055606
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
400 E EISENHOWER PKWY STE B, Ann Arbor, MI 48108

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Sydney Marie Peters Md 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 14

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

Student in an Organized Health Care Education/Training Program
400 E EISENHOWER PKWY STE B
ANN ARBOR, MI 48108
Student in an Organized Health Care Education/Training Program
400 E EISENHOWER PKWY STE B
ANN ARBOR, MI 48108
Student in an Organized Health Care Education/Training Program
400 E EISENHOWER PKWY STE B
ANN ARBOR, MI 48108
Student in an Organized Health Care Education/Training Program
400 E EISENHOWER PKWY STE B
ANN ARBOR, MI 48108
Student in an Organized Health Care Education/Training Program
400 E EISENHOWER PKWY STE B, BUILDING 2, SUITE B
ANN ARBOR, MI 48108
Student in an Organized Health Care Education/Training Program
400 E EISENHOWER PKWY STE B
ANN ARBOR, MI 48108
Pediatrics (Pediatric Critical Care Medicine)
400 E EISENHOWER PKWY STE B
ANN ARBOR, MI 48108
Student in an Organized Health Care Education/Training Program
400 E EISENHOWER PKWY STE B
ANN ARBOR, MI 48108

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 Sydney Peters's NPI number?

The NPI number for Sydney Peters is 1104755628. It was assigned to this individual provider in the NPPES registry on May 19, 2026.

Where is Sydney Peters located?

Sydney Peters practices at 400 E Eisenhower Pkwy Ste B, Ann Arbor, MI 48108. The listed phone number is (734) 539-5080.

What is Sydney Peters's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sydney Peters enrolled in Medicare?

Yes. Sydney Peters is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sydney Peters was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.