DR. JOHN PETER PETERSEN M.D.
NPI 1790786895
Radiology - Radiation Oncology in Vero Beach, FL

Q: What is John Petersen's NPI number?

The NPI number for John Petersen is 1790786895. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Q: What is John Petersen's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Q: When was this NPI record last updated?

The NPPES record for John Petersen was last updated on March 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 10, 2005

3555 10TH COURT, INDIAN RIVER REGIONAL CANCER CENTER, IRMC, VERO BEACH, FL 32960(772) 794-3333(772) 569-6949 Get Directions Write a Review

NPPES record last updated: March 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2020, Mar 12, 2020 (2 updates tracked since 2020).

On this page

About Dr. John Peter Petersen M.d. NPPES

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

DR. JOHN PETER PETERSEN M.D. (NPI 1790786895) is an individual radiation oncology provider in Vero Beach, Florida, licensed in Florida (ME 64848) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1790786895

Entity TypeIndividualMale

Primary Taxonomy2085R0001X

Provider Legal NameDR. JOHN PETER PETERSENCredential: M.D.

Location Address3555 10TH COURT, INDIAN RIVER REGIONAL CANCER CENTER, IRMCVero Beach, FL 32960-4862

Mailing Address3555 10th CtVero Beach, FL 32960-5013 · (772) 794-3333 · Fax (772) 569-6949

Phone(772) 794-3333

Fax(772) 569-6949

Sole ProprietorYes

Enumeration DateAugust 10, 2005

Last NPPES UpdateMarch 24, 20202 updates tracked since enumeration

NPPES CertifiedMarch 24, 2020

✔ NPI 1790786895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0001X

License✔ Licensed in FL · ME 64848

Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

3555 10TH COURT, Vero Beach, FL 32960

Open in Google Maps ↗

Other Identifiers 2

Medicaid374792100FL

Other920004346Medicare Rr

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Wellpoint.Insurance ›

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 John Petersen's NPI number?

The NPI number for John Petersen is 1790786895. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is John Petersen located?

John Petersen practices at 3555 10th Court Indian River Regional Cancer Center, Irmc, Vero Beach, FL 32960. The listed phone number is (772) 794-3333.

What is John Petersen's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

What insurance does John Petersen accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Wellpoint list John Petersen 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 John Petersen was last updated on March 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.