KEITH HERSHEL PETERSON MD
NPI 1689718637
Internal Medicine in Duluth, MN
About Keith Hershel Peterson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEITH HERSHEL PETERSON MD (NPI 1689718637) is an individual internal medicine provider in Duluth, Minnesota, licensed in Minnesota (49588) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (2004).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
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
Keith Hershel 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55805 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 Keith Peterson's NPI number?
The NPI number for Keith Peterson is 1689718637. It was assigned to this individual provider in the NPPES registry on February 15, 2007.
Where is Keith Peterson located?
Keith Peterson practices at 400 E 3rd St Essentia Health Duluth Clinic, Duluth, MN 55805. The listed phone number is (218) 786-4020.
What is Keith Peterson's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Keith Peterson enrolled in Medicare?
Yes. Keith 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 Keith Peterson accept?
Health plans from HealthPartners, Medica and Sanford Health Plan list Keith 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.
When was this NPI record last updated?
The NPPES record for Keith Peterson was last updated on December 2, 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.
# Keith Hershel Peterson, MD · NPI 1689718637
Internal Medicine physician in Duluth, Minnesota. Individual provider, active in the CMS NPPES registry since February 15, 2007.
## Identity
- **NPI:** 1689718637 (Entity type: Individual)
- **Enumerated:** February 15, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 49588 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 400 E 3RD ST, ESSENTIA HEALTH DULUTH CLINIC, Duluth, MN 55805-1951
- **Phone:** (218) 786-4020
## 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 2004
## Record status
- **NPPES last updated:** December 2, 2015
- **Other identifiers:** Medicare PIN 110014015 (MN); Medicaid 1689718637 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1689718637) · Data from the CMS NPPES public registry.