MITCHELL PETERSON MD
NPI 1356927180
Student in an Organized Health Care Education/Training Program in Albuquerque, NM

Active since March 22, 2021
MSC11 6025 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-5062 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 20, 2025, Aug 5, 2025, Apr 21, 2024 and 1 more (4 updates tracked since 2021).

About Mitchell Peterson Md NPPES

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

MITCHELL PETERSON MD (NPI 1356927180) is an individual student in an organized health care education/training program in Albuquerque, New Mexico and active in the NPI registry since March 2021. He maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1356927180
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMITCHELL PETERSONCredential: MD
Location AddressMSC11 6025 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-3134
Mailing Address22 Bramhall StPortland, ME 04102-3134
Sole ProprietorNo
Enumeration DateMarch 22, 2021
Last NPPES UpdateNovember 20, 20254 updates tracked since enumeration
NPPES CertifiedNovember 20, 2025
NPI 1356927180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

Also ListedPediatricsTaxonomy 208000000X · License MD2025-0249 (NM)
MSC11 6025 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131

Secondary Practice Location 1

Location 19201 Montgomery Blvd NE Ste 201Albuquerque, NM 87111-2467 · Phone (505) 298-2505

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
MSC11 6025 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Emergency Medicine
MSC11 6025 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
MSC11 6025 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Emergency Medicine
MSC11 6025 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
MSC11 6025 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
MSC11 6025 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Emergency Medicine
MSC11 6025 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
MSC11 6025 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131

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 Mitchell Peterson's NPI number?

The NPI number for Mitchell Peterson is 1356927180. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Where is Mitchell Peterson located?

Mitchell Peterson practices at Msc11 6025 1 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (505) 272-5062.

What is Mitchell Peterson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mitchell Peterson was last updated on November 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.