TIMOTHY D. PETERS M.D.
NPI 1881635076
Psychiatry & Neurology - Child & Adolescent Psychiatry in Santa Rosa, CA

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
2235 MERCURY WAY, SANTA ROSA, CA 95407(707) 239-4426 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2024, Jan 31, 2019 (2 updates tracked since 2019).

About Timothy D. Peters M.d. NPPES

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

TIMOTHY D. PETERS M.D. (NPI 1881635076) is an individual child & adolescent psychiatry provider in Santa Rosa, California, licensed in California (C195627) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Louisville School Of Medicine (2000).

NPPES Registry Identity

NPI1881635076
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameTIMOTHY D. PETERSCredential: M.D.
Location Address2235 MERCURY WAYSanta Rosa, CA 95407-5473
Mailing Address2235 Mercury WaySanta Rosa, CA 95407-5473 · (707) 239-4426
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2000
Enumeration DateJune 9, 2006
Last NPPES UpdateJune 24, 20242 updates tracked since enumeration
NPPES CertifiedJune 24, 2024
NPI 1881635076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses Licensed in CA · C195627 Licensed in KY · 39646
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
2235 MERCURY WAY, Santa Rosa, CA 95407

Other Identifiers 1

Medicaid64105463KY

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

Timothy D. Peters M.d. 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 ID3678556990
PECOS Enrollment IDI20250331002115
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.

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.

Day Training/Habilitation Specialist
2235 MERCURY WAY
SANTA ROSA, CA 95407
Pharmacist
2235 MERCURY WAY
SANTA ROSA, CA 95407
Pharmacist
2235 MERCURY WAY
SANTA ROSA, CA 95407
Case Manager/Care Coordinator
2235 MERCURY WAY
SANTA ROSA, CA 95407
Pharmacist
2235 MERCURY WAY
SANTA ROSA, CA 95407
Marriage & Family Therapist
2235 MERCURY WAY
SANTA ROSA, CA 95407
Psychiatry & Neurology (Psychiatry)
2235 MERCURY WAY
SANTA ROSA, CA 95407
Rehabilitation Practitioner
2235 MERCURY WAY
SANTA ROSA, CA 95407

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 Timothy Peters's NPI number?

The NPI number for Timothy Peters is 1881635076. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Timothy Peters located?

Timothy Peters practices at 2235 Mercury Way, Santa Rosa, CA 95407. The listed phone number is (707) 239-4426.

What is Timothy Peters's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Timothy Peters enrolled in Medicare?

Yes. Timothy Peters 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.

When was this NPI record last updated?

The NPPES record for Timothy Peters was last updated on June 24, 2024. 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.