KENT JOHN PETERSON MD
NPI 1669979514
Colon & Rectal Surgery in Fargo, ND
About Kent John Peterson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENT JOHN PETERSON MD (NPI 1669979514) is an individual colon & rectal surgery provider in Fargo, North Dakota, licensed in North Dakota (22778) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and maintains a secondary practice location in Fargo.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kent John Peterson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sanford Medical Center Fargo
Acute Care Hospitals · Fargo, NDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 58102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Kent Peterson's NPI number?
The NPI number for Kent Peterson is 1669979514. It was assigned to this individual provider in the NPPES registry on April 8, 2018.
Where is Kent Peterson located?
Kent Peterson practices at 801 Broadway N, Fargo, ND 58102. The listed phone number is (801) 234-2000.
What is Kent Peterson's specialty?
The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.
Is Kent Peterson enrolled in Medicare?
Yes. Kent Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Kent Peterson accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Kent Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Kent Peterson affiliated with any hospitals?
According to CMS data, Kent Peterson is affiliated with Sanford Medical Center Fargo.
When was this NPI record last updated?
The NPPES record for Kent Peterson was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Kent John Peterson, MD · NPI 1669979514
Colon & Rectal Surgery physician in Fargo, North Dakota. Individual provider, active in the CMS NPPES registry since April 8, 2018.
## Identity
- **NPI:** 1669979514 (Entity type: Individual)
- **Enumerated:** April 8, 2018
- **Primary specialty:** Colon & Rectal Surgery · taxonomy 208C00000X
- **State license:** 22778 (North Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 801 BROADWAY N, Fargo, ND 58102-3641
- **Phone:** (801) 234-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Minnesota Medical School, class of 2018
## Record status
- **NPPES last updated:** January 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1669979514) · Data from the CMS NPPES public registry.