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KYLIE BROOKE PETERSON MD
NPI 1720720097
Anesthesiology in Houston, TX

Active since April 08, 2022PECOS Enrolled
6431 FANNIN ST # 5.170, HOUSTON, TX 77030(713) 500-7160(713) 500-0648 Get Directions Write a Review

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

About Kylie Brooke Peterson Md NPPES

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

KYLIE BROOKE PETERSON MD (NPI 1720720097) is an individual anesthesiology provider in Houston, Texas, licensed in Texas (W4928) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1720720097
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameKYLIE BROOKE PETERSONCredential: MD
Location Address6431 FANNIN ST # 5.170Houston, TX 77030-1501
Mailing Address6411 Fannin St Ste 5.020Houston, TX 77030-1501 · (713) 500-7160
Phone(713) 500-7160
Fax(713) 500-0648
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateApril 8, 2022
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1720720097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in TX · W4928
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
6431 FANNIN ST # 5.170, Houston, TX 77030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kylie Brooke Peterson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234697988
PECOS Enrollment IDI20260813002316
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.

Medicare Billing Reassignment

Medicare enrollment records show Kylie Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ut Physicians
0.1 mi
Anesthesiology
6410 FANNIN ST, 1500
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 3,111 clinicians in this Medicare group
NPI 1033157821 (832) 325-7325

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK PERRIN MD
Student in an Organized Health Care Education/Training Program
6431 FANNIN ST # 5.170
HOUSTON, TX 77030
Harris County (713) 500-7160
ERIC BAJWA DO
Student in an Organized Health Care Education/Training Program
6431 FANNIN ST # 5.170
HOUSTON, TX 77030
Harris County (713) 500-6113
JACK DAVID TOUPS MD, MPH
Student in an Organized Health Care Education/Training Program
6431 FANNIN ST # 5.170
HOUSTON, TX 77030
Harris County (713) 500-7160
AARON JOSEPH HERNANDEZ DO
Student in an Organized Health Care Education/Training Program
6431 FANNIN ST # 5.170
HOUSTON, TX 77030
Harris County (713) 500-0648
HANNAH MATEJOWSKY MARINO MD
Student in an Organized Health Care Education/Training Program
6431 FANNIN ST # 5.170
HOUSTON, TX 77030
Harris County (713) 500-7160
BAO NGUYEN
Student in an Organized Health Care Education/Training Program
6431 FANNIN ST # 5.170
HOUSTON, TX 77030
Harris County (713) 500-7160
CARSON JOHN VIGLIONE MD
Student in an Organized Health Care Education/Training Program
6431 FANNIN ST # 5.170
HOUSTON, TX 77030
Harris County (713) 500-7160
ANDREW COPELAND MD
Student in an Organized Health Care Education/Training Program
6431 FANNIN ST # 5.170
HOUSTON, TX 77030
Harris County (713) 500-7160

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 Kylie Peterson's NPI number?

The NPI number for Kylie Peterson is 1720720097. It was assigned to this individual provider in the NPPES registry on April 8, 2022.

Where is Kylie Peterson located?

Kylie Peterson practices at 6431 Fannin St # 5.170, Houston, TX 77030. The listed phone number is (713) 500-7160.

What is Kylie Peterson's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Kylie Peterson enrolled in Medicare?

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

Which organization bills Medicare for Kylie Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kylie Peterson reassigns Medicare benefits to Ut Physicians (Houston, TX). The 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 Kylie Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kylie Peterson accept?

Health plans from Oscar Insurance Company list Kylie 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 Kylie Peterson was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.