WILLIAM CARL PETERSEN JR. M.D.
NPI 1801933197
Pediatrics - Pediatric Hematology-Oncology in Charlottesville, VA

Q: What is William Petersen's NPI number?

The NPI number for William Petersen is 1801933197. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Q: What is William Petersen's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Q: When was this NPI record last updated?

The NPPES record for William Petersen was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 January 30, 2007PECOS Enrolled

1204 W MAIN ST, CHARLOTTESVILLE, VA 22903(434) 924-0123(434) 243-3300 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2023, Oct 13, 2020, Aug 28, 2019 (3 updates tracked since 2019).

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About William Carl Petersen Jr. M.d. NPPES

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

WILLIAM CARL PETERSEN JR. M.D. (NPI 1801933197) is an individual pediatric hematology-oncology provider in Charlottesville, Virginia, licensed in Virginia (0101254189) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1801933197

Entity TypeIndividualMale

Primary Taxonomy2080P0207X

Provider Legal NameWILLIAM CARL PETERSEN JR.Credential: M.D.

Location Address1204 W MAIN STCharlottesville, VA 22903-2824

Mailing AddressPo Box 9007Charlottesville, VA 22906-9007

Phone(434) 924-0123

Fax(434) 243-3300

Sole ProprietorNo

Enumeration DateJanuary 30, 2007

Last NPPES UpdateAugust 9, 20233 updates tracked since enumeration

NPPES CertifiedAugust 9, 2023

✔ NPI 1801933197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

License✔ Licensed in VA · 0101254189

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

1204 W MAIN ST, Charlottesville, VA 22903

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Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-2824 · Phone (434) 924-0211

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William Carl Petersen Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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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.

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