KERI PETERSON MD PC
NPI 1336502889
Internal Medicine in New York, NY

Active since April 01, 2016
115 E 57TH ST, SUITE 510, NEW YORK, NY 10022(212) 583-2962(212) 744-4072 Get Directions Write a Review

NPPES record last updated: April 1, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Keri Peterson Md Pc NPPES

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

KERI PETERSON MD PC (NPI 1336502889) is a healthcare organization registered as an internal medicine in New York, New York and active in the NPI registry since April 2016. The organization lists Keri Peterson, Physician, as its authorized official.

NPPES Registry Identity

NPI1336502889
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameKERI PETERSON MD PC
Location Address115 E 57TH ST, SUITE 510New York, NY 10022-2049
Mailing Address115 E 57th St, Suite 510New York, NY 10022-2049 · (212) 583-2962 · Fax (212) 744-4072
Fax(212) 744-4072
Organization SubpartNo
Authorized OfficialKeri PetersonPhysician · (516) 429-9954
Enumeration DateApril 1, 2016
✔ NPI 1336502889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
115 E 57TH ST, New York, NY 10022

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keri Peterson Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Keri Peterson MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1336119866
115 E 57TH ST STE 510
New York, NY 10022
(212) 583-2962
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Keri Peterson MD PC's NPI number?

The NPI number for Keri Peterson MD PC is 1336502889. It was assigned to this organization in the NPPES registry on April 1, 2016.

Where is Keri Peterson MD PC located?

Keri Peterson MD PC is located at 115 E 57th St Suite 510, New York, NY 10022. The listed phone number is (212) 583-2962.

What is Keri Peterson MD PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Keri Peterson MD PC enrolled in Medicare?

Yes. Keri Peterson MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Keri Peterson MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Keri Peterson MD PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Keri Peterson MD PC was last updated on April 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.