PETERSON HEALTH CLINIC LLC
NPI 1376813378
Chiropractor in Fairview Heights, IL

Q: What is Peterson Health Clinic LLC's NPI number?

The NPI number for Peterson Health Clinic LLC is 1376813378. It was assigned to this organization in the NPPES registry on January 6, 2012.

Q: What is Peterson Health Clinic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since January 06, 2012

815 LINCOLN HIGHWAY, SUITE 109, FAIRVIEW HEIGHTS, IL 62208(618) 589-3911(618) 589-3912 Get Directions Write a Review

NPPES record last updated: December 15, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Peterson Health Clinic Llc NPPES

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

PETERSON HEALTH CLINIC LLC (NPI 1376813378) is a healthcare organization registered as a chiropractor in Fairview Heights, Illinois and active in the NPI registry since January 2012. The organization lists Ronald G Peterson, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1376813378

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NamePETERSON HEALTH CLINIC LLC

Location Address815 LINCOLN HIGHWAY, SUITE 109Fairview Heights, IL 62208

Mailing Address815 Lincoln Highway, Suite 109Fairview Heights, IL 62208 · (618) 589-3911 · Fax (618) 589-3912

Phone(618) 589-3911

Fax(618) 589-3912

Organization SubpartNo

Authorized OfficialRonald G PetersonOwner/physician · (618) 589-3911

Enumeration DateJanuary 6, 2012

Last NPPES UpdateDecember 15, 2015

✔ NPI 1376813378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

Licenses✔ Licensed in IL · 248.000537✔ Licensed in IL · 038.012069

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

815 LINCOLN HIGHWAY, Fairview Heights, IL 62208

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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 MULTIPLE 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)

Peterson Health Clinic Llc 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 Peterson Health Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ronald Peterson, D.C.

Chiropractic

NPI 1891064226

815 LINCOLN HWY STE 101
Fairview Heights, IL 62208

(618) 589-3911

✔ Accepts MedicareSame 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 Peterson Health Clinic LLC's NPI number?

The NPI number for Peterson Health Clinic LLC is 1376813378. It was assigned to this organization in the NPPES registry on January 6, 2012.

Where is Peterson Health Clinic LLC located?

Peterson Health Clinic LLC is located at 815 Lincoln Highway Suite 109, Fairview Heights, IL 62208. The listed phone number is (618) 589-3911.

What is Peterson Health Clinic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Peterson Health Clinic LLC enrolled in Medicare?

Yes. Peterson Health Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peterson Health Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Peterson Health Clinic LLC. 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 Peterson Health Clinic LLC was last updated on December 15, 2015. 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.