Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICHOLAS PETERSON MD
NPI 1205493335
Colon & Rectal Surgery in Philadelphia, PA

Q: 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.

Q: What is Nicholas Peterson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicholas Peterson was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.

Active since May 23, 2019PECOS EnrolledAccepts Medicare Assignment

5501 OLD YORK RD, PHILADELPHIA, PA 19141(215) 457-4444(215) 457-7602 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 3, 2026, Jun 25, 2024, May 23, 2019 (3 updates tracked since 2019).

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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 Philadelphia, Pennsylvania, 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 maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1205493335

Entity TypeIndividualMale

Primary Taxonomy208C00000X

Provider Legal NameNICHOLAS PETERSONCredential: MD

Location Address5501 OLD YORK RDPhiladelphia, PA 19141-3018

Mailing AddressPo Box 788735Philadelphia, PA 19178-8735 · (215) 456-7000 · Fax (215) 457-7602

Phone(215) 457-4444

Fax(215) 457-7602

Sole ProprietorYes

Medical School CMSUn Of British Columbia, Faculty Of MedicineGraduated 2019

Enumeration DateMay 23, 2019

Last NPPES UpdateSeptember 3, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2026

✔ NPI 1205493335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedSurgeryTaxonomy 208600000X · License MD490367 (PA)

5501 OLD YORK RD, Philadelphia, PA 19141

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Secondary Practice Location 1

Location 11611 NW 12th AveMiami, FL 33136-1005 · Phone (305) 325-5511

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 19141 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

KENNETH KLECKNER MD

Emergency Medicine

5501 OLD YORK RD, EINSTEIN MEDICAL CENTER - PHILADELPHIA
PHILADELPHIA, PA 19141

Philadelphia County (215) 456-6679

MS. AMMAN HASSAN MD

Pediatrics

5501 OLD YORK RD
PHILADELPHIA, PA 19141

Philadelphia County (215) 456-3810

TAYLOR NICOLE THOMPSON PA-C

Physician Assistant (Medical)

5501 OLD YORK RD, KORMAN BUILDING SUITE 202
PHILADELPHIA, PA 19141

Philadelphia County (215) 254-2630

STEPHEN RYAN CHEN

Orthopaedic Surgery

5501 OLD YORK RD
PHILADELPHIA, PA 19141

Philadelphia County (215) 456-7890

DR. DHRUV SHARMA MD

Student in an Organized Health Care Education/Training Program

5501 OLD YORK RD
PHILADELPHIA, PA 19141

Philadelphia County (215) 456-7890

TIMOTHY DANIEL GARDNER DO

Student in an Organized Health Care Education/Training Program

5501 OLD YORK RD
PHILADELPHIA, PA 19141

Philadelphia County (215) 456-7890

DR. JONATHAN THOMAS LUCIANI DO

Student in an Organized Health Care Education/Training Program

5501 OLD YORK RD
PHILADELPHIA, PA 19141

Philadelphia County (215) 456-7890

ASHIKA KAPOOR MD

Psychiatry & Neurology (Psychiatry)

5501 OLD YORK RD
PHILA, PA 19141

Philadelphia County (215) 456-8103

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 5501 Old York Rd, Philadelphia, PA 19141. The listed phone number is (215) 457-4444.

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 September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.