DR. MICHAEL CHARLES PETERSEN M.D.
NPI 1881798379
Pediatrics - Pediatric Emergency Medicine in Austin, TX

Q: What is Michael Petersen's NPI number?

The NPI number for Michael Petersen is 1881798379. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Q: What is Michael Petersen's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Michael Petersen was last updated on September 4, 2019. 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 September 12, 2006

12356 RIATA TRACE PKWY # 6006-B, AUSTIN, TX 78727(512) 506-7000(314) 251-4450 Get Directions Write a Review

NPPES record last updated: September 4, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Michael Charles Petersen M.d. NPPES

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

DR. MICHAEL CHARLES PETERSEN M.D. (NPI 1881798379) is an individual pediatric emergency medicine provider in Austin, Texas, licensed in Texas (Q2049) and active in the NPI registry since September 2006. He maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1881798379

Entity TypeIndividualMale

Primary Taxonomy2080P0204X

Provider Legal NameDR. MICHAEL CHARLES PETERSENCredential: M.D.

Location Address12356 RIATA TRACE PKWY # 6006-BAustin, TX 78727-6417

Mailing Address12356 Riata Trace Pkwy # 6006-bAustin, TX 78727-6417 · (512) 506-7000 · Fax (314) 251-4450

Phone(512) 506-7000

Fax(314) 251-4450

Sole ProprietorNo

Enumeration DateSeptember 12, 2006

Last NPPES UpdateSeptember 4, 2019

✔ NPI 1881798379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in TX · Q2049

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedPediatricsTaxonomy 208000000X · License 2006027561 (MO)

12356 RIATA TRACE PKWY # 6006-B, Austin, TX 78727

Open in Google Maps ↗

Secondary Practice Location 1

Location 1621 S New Ballas Rd, 6006-BSaint Louis, MO 63141-8232 · Phone (314) 251-6299 · Fax (314) 251-4450

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 Michael Petersen's NPI number?

The NPI number for Michael Petersen is 1881798379. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Where is Michael Petersen located?

Michael Petersen practices at 12356 Riata Trace Pkwy # 6006-B, Austin, TX 78727. The listed phone number is (512) 506-7000.

What is Michael Petersen's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

When was this NPI record last updated?

The NPPES record for Michael Petersen was last updated on September 4, 2019. 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.