KEVIN PETERSON DO
NPI 1790225662
Anesthesiology - Pain Medicine in Jbsa-fort Sam Houston, TX

Active since February 27, 2017PECOS EnrolledAccepts Medicare Assignment
3551 RODGER BROOKE DR, JBSA-FORT SAM HOUSTON, TX 78234(210) 916-8666(210) 916-8712 Get Directions Write a Review

NPPES record last updated: June 17, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 1, 2021, Feb 20, 2019, Feb 27, 2017 (3 updates tracked since 2017).

About Kevin Peterson Do NPPES

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

KEVIN PETERSON DO (NPI 1790225662) is an individual pain medicine provider in Jbsa-fort Sam Houston, Texas, licensed in Texas (S0534) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2017).

NPPES Registry Identity

NPI1790225662
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameKEVIN PETERSONCredential: DO
Location Address3551 RODGER BROOKE DRJbsa-fort Sam Houston, TX 78234-4504
Mailing Address3551 Rodger Brooke Dr, Anesthesia ResidencyJbsa-fort Sam Houston, TX 78234-4504 · (210) 916-8666
Fax(210) 916-8712
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2017
Enumeration DateFebruary 27, 2017
Last NPPES UpdateJune 17, 20223 updates tracked since enumeration
NPPES CertifiedJune 15, 2022
NPI 1790225662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License Licensed in TX · S0534
Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Also ListedAnesthesiologyTaxonomy 207L00000X · License S0534 (TX)
Also ListedGeneral PracticeTaxonomy 208D00000X · License S0534 (TX)
3551 RODGER BROOKE DR, Jbsa-fort Sam Houston, TX 78234

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

Kevin Peterson Do 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.

PECOS PAC ID6800322520
PECOS Enrollment IDI20241204004643
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 5

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

Physician Assistant (Medical)
3551 RODGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Nurse Practitioner (Family)
3551 RODGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Military Health Care Provider
3551 RODGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Physical Therapist
3551 RODGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Nurse Practitioner (Psychiatric/Mental Health)
3551 RODGER BROOKE DR
FORT SAM HOUSTON, TX 78234

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790225662, enumerated as an "individual" on February 27, 2017.

The provider is located at 3551 RODGER BROOKE DR JBSA-FORT SAM HOUSTON, TX 78234 and the phone number is (210) 916-8666.

Anesthesiology with taxonomy code 207LP2900X and a focus in Pain Medicine.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.

Kevin Peterson is affiliated with: METHODIST HOSPITAL.