DR. DAVID PETERSEN M.D.
NPI 1215900824
Pediatrics in Las Vegas, NV

Q: What is David Petersen's NPI number?

The NPI number for David Petersen is 1215900824. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Q: What is David Petersen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for David Petersen 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.

Active since February 13, 2006PECOS Enrolled

3006 S MARYLAND PKWY, STE 505, LAS VEGAS, NV 89109(888) 350-2911 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Dr. David Petersen M.d. NPPES

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

DR. DAVID PETERSEN M.D. (NPI 1215900824) is an individual pediatrics provider in Las Vegas, Nevada, licensed in Nevada (12010) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215900824

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. DAVID PETERSENCredential: M.D.

Location Address3006 S MARYLAND PKWY, STE 505Las Vegas, NV 89109-2218

Mailing Address3006 S Maryland Pkwy, Ste 505Las Vegas, NV 89109-2218 · (888) 350-2911

Phone(888) 350-2911

Sole ProprietorNo

Enumeration DateFebruary 13, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1215900824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NV · 12010

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.

3006 S MARYLAND PKWY, Las Vegas, NV 89109

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Other Identifiers 1

Medicare UPINRES000CA

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. David Petersen M.d. 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 89109 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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.

CHERIE LIN D.O.

Internal Medicine

3006 S MARYLAND PKWY, SUITE 400
LAS VEGAS, NV 89109

Clark County (702) 369-5582

DR. IKRAM U KHAN MD

Surgery

3006 S MARYLAND PKWY, SUITE 465
LAS VEGAS, NV 89109

Clark County (702) 595-1059

UNIVERSITY OF NV SCHOOL MULTISPECIALTY GROUP PRACTICE SOUTH INC

Pediatrics

3006 S MARYLAND PKWY, 320
LAS VEGAS, NV 89109

Clark County (702) 992-6868

HUGH S SELZNICK M.D.

Orthopaedic Surgery (Orthopaedic Trauma)

3006 S MARYLAND PKWY, 570
LAS VEGAS, NV 89109

Clark County (702) 777-2663

TAMMY L ROPER R.N.

Registered Nurse

3006 S MARYLAND PKWY, 690
LAS VEGAS, NV 89109

Clark County (702) 732-1290

SAMMIE K YAMAGATA R.N.

Registered Nurse

3006 S MARYLAND PKWY, SUITE 690
LAS VEGAS, NV 89109

Clark County (702) 732-1290

WENDY H. KING M.D.

Pediatrics

3006 S MARYLAND PKWY, 315
LAS VEGAS, NV 89109

Clark County (702) 992-6868

DR. PORNPIMON BOONYAKIAT M.D.

Pediatrics

3006 S MARYLAND PKWY, STE 270
LAS VEGAS, NV 89109

Clark County (702) 369-6161

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 David Petersen's NPI number?

The NPI number for David Petersen is 1215900824. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is David Petersen located?

David Petersen practices at 3006 S Maryland Pkwy Ste 505, Las Vegas, NV 89109. The listed phone number is (888) 350-2911.

What is David Petersen's specialty?

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

Is David Petersen enrolled in Medicare?

Yes. David Petersen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Petersen 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.