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

EILEEN KATHRYN PETERSON MD
NPI 1396449914
Surgery in Minneapolis, MN

Active since March 28, 2023PECOS Enrolled
500 HARVARD ST SE, MINNEAPOLIS, MN 55455(612) 273-8383 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 14, 2026, Dec 8, 2023, Mar 28, 2023 (3 updates tracked since 2023).

About Eileen Kathryn Peterson Md NPPES

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

EILEEN KATHRYN PETERSON MD (NPI 1396449914) is an individual surgery provider in Minneapolis, Minnesota, licensed in Minnesota (83727) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396449914
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameEILEEN KATHRYN PETERSONCredential: MD
Location Address500 HARVARD ST SEMinneapolis, MN 55455-0363
Mailing Address500 Harvard St SeMinneapolis, MN 55455-0363 · (612) 273-8383
Phone(612) 273-8383
Sole ProprietorNo
Enumeration DateMarch 28, 2023
Last NPPES UpdateSeptember 14, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2026
✔ NPI 1396449914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MN · 83727
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
500 HARVARD ST SE, Minneapolis, MN 55455
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eileen Kathryn Peterson Md 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 55455 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

CHRISTINA MANIAN RDN, LD
Dietitian, Registered
500 HARVARD ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 273-5188
DR. JOSEPH E. KUMKA MD, PHD
Internal Medicine (Gastroenterology)
500 HARVARD ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 273-3000
TYLER MUELLNER RN
Registered Nurse (Critical Care Medicine)
500 HARVARD ST SE
MINNEAPOLIS, MN 55455
Hennepin County (651) 260-0514
DR. MICHAEL H WALL MD
Anesthesiology
500 HARVARD ST SE, UNIVERSITY OF MINNESOTA MEDICAL CENTER
MINNEAPOLIS, MN 55455
Hennepin County (612) 273-3000
JEFFREY FAHRENBRUCH RPH
Pharmacist
500 HARVARD ST SE, SUITE 3-017
MINNEAPOLIS, MN 55455
Hennepin County (612) 273-2121
DR. VENUS VAKHSHORI M.D.
Orthopaedic Surgery (Hand Surgery)
500 HARVARD ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-3343
KAILEY IMMEN PA-C
Physician Assistant
500 HARVARD ST SE
MINNEAPOLIS, MN 55455
Hennepin County (507) 380-6474
KYLE JAMES ANDERSON
Perfusionist
500 HARVARD ST SE
MINNEAPOLIS, MN 55455
Hennepin County (712) 330-4001

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 Eileen Peterson's NPI number?

The NPI number for Eileen Peterson is 1396449914. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Where is Eileen Peterson located?

Eileen Peterson practices at 500 Harvard St SE, Minneapolis, MN 55455. The listed phone number is (612) 273-8383.

What is Eileen Peterson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Eileen Peterson enrolled in Medicare?

Yes. Eileen Peterson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eileen Peterson was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.