DR. DOUGLAS J. PETERS JR. MD
NPI 1912588716
Internal Medicine in Salt Lake City, UT

Active since April 14, 2021PECOS Enrolled
30 N 1900 E RM 4C104, SALT LAKE CITY, UT 84132(801) 581-7899 Get Directions Write a Review

NPPES record last updated: August 18, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 18, 2022, Apr 14, 2021 (2 updates tracked since 2021).

About Dr. Douglas J. Peters Jr. Md NPPES

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

DR. DOUGLAS J. PETERS JR. MD (NPI 1912588716) is an individual internal medicine provider in Salt Lake City, Utah, licensed in Utah (12985011-1205) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912588716
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DOUGLAS J. PETERS JR.Credential: MD
Location Address30 N 1900 E RM 4C104Salt Lake City, UT 84132-0002
Mailing Address30 N 1900 E Rm 4c104Salt Lake City, UT 84132-0002 · (801) 581-7899
Sole ProprietorNo
Enumeration DateApril 14, 2021
Last NPPES UpdateAugust 18, 20222 updates tracked since enumeration
NPPES CertifiedAugust 18, 2022
NPI 1912588716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in UT · 12985011-1205
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

30 N 1900 E RM 4C104, Salt Lake City, UT 84132

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Douglas J. Peters Jr. Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine
30 N 1900 E RM 4C104
SALT LAKE CITY, UT 84132
Internal Medicine
30 N 1900 E RM 4C104
SALT LAKE CITY, UT 84132
Internal Medicine (Hospice and Palliative Medicine)
30 N 1900 E RM 4C104
SALT LAKE CITY, UT 84132
Internal Medicine
30 N 1900 E RM 4C104
SALT LAKE CITY, UT 84132
Internal Medicine
30 N 1900 E RM 4C104
SALT LAKE CITY, UT 84132
Internal Medicine
30 N 1900 E RM 4C104
SALT LAKE CITY, UT 84132
Internal Medicine
30 N 1900 E RM 4C104
SALT LAKE CITY, UT 84132
Internal Medicine
30 N 1900 E RM 4C104
SALT LAKE CITY, UT 84132

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912588716, enumerated as an "individual" on April 14, 2021.

The provider is located at 30 N 1900 E RM 4C104 SALT LAKE CITY, UT 84132 and the phone number is (801) 581-7899.

Internal Medicine with taxonomy code 207R00000X.