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NICHOLAS PETERS MD
NPI 1194254573
Student in an Organized Health Care Education/Training Program in New Haven, CT

Active since June 08, 2017PECOS Enrolled
330 CEDAR STREET, YALE SCHOOL OF MEDICINE - DEPARTMENT OF SURGERY, NEW HAVEN, CT 06520(203) 785-2572 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 8, 2017 (2 updates tracked since 2017).

About Nicholas Peters Md NPPES

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

NICHOLAS PETERS MD (NPI 1194254573) is an individual student in an organized health care education/training program in New Haven, Connecticut and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194254573
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNICHOLAS PETERSCredential: MD
Location Address330 CEDAR STREET, YALE SCHOOL OF MEDICINE - DEPARTMENT OF SURGERYNew Haven, CT 06520-8062
Mailing Address330 Cedar Street, Yale School Of Medicine - Department Of SurgeryNew Haven, CT 06520-8062 · (203) 785-2572
Phone(203) 785-2572
Sole ProprietorYes
Enumeration DateJune 8, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1194254573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.
330 CEDAR STREET, New Haven, CT 06520
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas 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 7

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

MR. MICHAEL G. CATY MD
Surgery (Pediatric Surgery)
330 CEDAR STREET, FMB 131
NEW HAVEN, CT 06520
South Central Connecticut Planning Region (203) 785-2701
RACHEL ALTREZ HAYWOOD
Student in an Organized Health Care Education/Training Program
330 CEDAR STREET, YNHH DEPT OF SURGERY
NEW HAVEN, CT 06520
South Central Connecticut Planning Region (203) 688-9503
BENJAMIN RESIO
Surgery
330 CEDAR STREET, YNHH, DEPARTMENT OF SURGERY
NEW HAVEN, CT 06520
South Central Connecticut Planning Region (203) 785-5479
LINDA LORIE MAERZ MD
Surgery
330 CEDAR STREET, BB 310 BOARDMAN BUILDING
NEW HAVEN, CT 06520
South Central Connecticut Planning Region (203) 785-2572
DAWN S RUSSELL M.D.
Student in an Organized Health Care Education/Training Program
330 CEDAR STREET, BOARDMAN BUILDING, SECOND FLOOR
NEW HAVEN, CT 06520
South Central Connecticut Planning Region (203) 785-2020
DANIEL JOSEPH BOFFA M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
330 CEDAR STREET, FMB - 128 THORACIC SURGERY
NEW HAVEN, CT 06520
South Central Connecticut Planning Region (203) 785-4931
MAIJA CHEUNG MD
Surgery
330 CEDAR STREET, YALE SURGERY DEPT AT YALE NEW HAVEN HOSPITAL
NEW HAVEN, CT 06520
South Central Connecticut Planning Region (203) 785-7890

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 Nicholas Peters's NPI number?

The NPI number for Nicholas Peters is 1194254573. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Where is Nicholas Peters located?

Nicholas Peters practices at 330 Cedar Street Yale School Of Medicine - Department Of Surgery, New Haven, CT 06520. The listed phone number is (203) 785-2572.

What is Nicholas 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 Nicholas Peters enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicholas Peters was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.