NICHOLAS PETERSON MD
NPI 1205493335
Colon & Rectal Surgery in Miami, FL

Active since May 23, 2019PECOS EnrolledAccepts Medicare Assignment
1611 NW 12TH AVE, MIAMI, FL 33136(305) 325-5511 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 25, 2024, May 23, 2019 (2 updates tracked since 2019).

About Nicholas Peterson Md NPPES

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

NICHOLAS PETERSON MD (NPI 1205493335) is an individual colon & rectal surgery provider in Miami, Florida, licensed in Florida (TRN40885) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Albert Einstein Medical Center, and is a graduate of Un Of British Columbia, Faculty Of Medicine (2019).

NPPES Registry Identity

NPI1205493335
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameNICHOLAS PETERSONCredential: MD
Location Address1611 NW 12TH AVEMiami, FL 33136-1005
Mailing Address1611 Nw 12th AveMiami, FL 33136-1005
Sole ProprietorYes
Medical School CMSUn Of British Columbia, Faculty Of MedicineGraduated 2019
Enumeration DateMay 23, 2019
Last NPPES UpdateJune 25, 20242 updates tracked since enumeration
NPPES CertifiedMay 20, 2024
NPI 1205493335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License Licensed in FL · TRN40885
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
1611 NW 12TH AVE, Miami, FL 33136

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicholas Peterson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42545824
PECOS Enrollment IDI20251124000078
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
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.

Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pediatrics (Pediatric Cardiology)
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Anesthesiology
1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136
Pathology (Anatomic Pathology)
1611 NW 12TH AVE
MIAMI, FL 33136
Surgery
1611 NW 12TH AVE
MIAMI, FL 33136

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 Peterson's NPI number?

The NPI number for Nicholas Peterson is 1205493335. It was assigned to this individual provider in the NPPES registry on May 23, 2019.

Where is Nicholas Peterson located?

Nicholas Peterson practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 325-5511.

What is Nicholas Peterson's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Nicholas Peterson enrolled in Medicare?

Yes. Nicholas Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Nicholas Peterson affiliated with any hospitals?

According to CMS data, Nicholas Peterson is affiliated with Albert Einstein Medical Center.

When was this NPI record last updated?

The NPPES record for Nicholas Peterson was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.