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ROBERT WILLIAM PETERSON MD
NPI 1104938380
Pediatrics in Portland, OR

Active since August 31, 2006PECOS Enrolled
3550 N INTERSTATE AVE, KAISER PERMANENTE INTERSTATE MEDICAL OFFICE EAST, PORTLAND, OR 97227(503) 331-3078 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Robert William Peterson Md NPPES

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

ROBERT WILLIAM PETERSON MD (NPI 1104938380) is an individual pediatrics provider in Portland, Oregon, licensed in Oregon (30984) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104938380
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameROBERT WILLIAM PETERSONCredential: MD
Location Address3550 N INTERSTATE AVE, KAISER PERMANENTE INTERSTATE MEDICAL OFFICE EASTPortland, OR 97227-1196
Mailing Address3550 N Interstate Ave, Kaiser Permanente Interstate Medical Office EastPortland, OR 97227-1196
Phone(503) 331-3078
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104938380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in OR · 30984✔ Licensed in WA · 30984
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3550 N INTERSTATE AVE, Portland, OR 97227
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert William Peterson 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97227 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JAMES PAUL BRYANT LCSW, CADC 3
Counselor
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 964-0000
ALISON D. ARMOUR PSYD
Psychologist (Clinical)
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 813-2000
MS. JESSICA A DUDLEY FNP
Nurse Practitioner (Family)
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 746-1575
DANAYA LEE HALL SWHNP
Nurse Practitioner
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (800) 813-2000
MS. JANET LEE MUCKRIDGE RD LD
Dietitian, Registered
3550 N INTERSTATE AVE, NUTRITION DEPARTMENT EAST INTERSTATE
PORTLAND, OR 97227
Multnomah County (503) 286-6871
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Pharmacy (Managed Care Organization Pharmacy)
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (866) 279-6122
COURTNEY JOHNSON LCSW
Social Worker (Clinical)
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (800) 813-2000
CHIA NENG VANG RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (866) 279-6122

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 Robert Peterson's NPI number?

The NPI number for Robert Peterson is 1104938380. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Robert Peterson located?

Robert Peterson practices at 3550 N Interstate Ave Kaiser Permanente Interstate Medical Office East, Portland, OR 97227. The listed phone number is (503) 331-3078.

What is Robert Peterson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Robert Peterson enrolled in Medicare?

Yes. Robert Peterson is registered in the Medicare PECOS enrollment system.

What insurance does Robert Peterson accept?

Health plans from Kaiser Permanente list Robert Peterson 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 Robert Peterson 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.