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DR. DAVID O. PETERSON D.O.
NPI 1962532465
Internal Medicine in Grand Rapids, MI

Active since March 06, 2007
1840 WEALTHY ST SE, GRAND RAPIDS, MI 49506(734) 464-0887(734) 402-0254 Get Directions Write a Review

NPPES record last updated: October 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. David O. Peterson D.o. NPPES

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

DR. DAVID O. PETERSON D.O. (NPI 1962532465) is an individual internal medicine provider in Grand Rapids, Michigan, licensed in Michigan (5101006401) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1962532465
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DAVID O. PETERSONCredential: D.O.
Location Address1840 WEALTHY ST SEGrand Rapids, MI 49506-2921
Mailing Address36123 Schoolcraft RdLivonia, MI 48150-1216 · (734) 793-6140 · Fax (734) 402-0254
Phone(734) 464-0887
Fax(734) 402-0254
Sole ProprietorNo
Enumeration DateMarch 6, 2007
Last NPPES UpdateOctober 17, 2016
✔ NPI 1962532465 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 MI · 5101006401
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.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 006401 (MI)
1840 WEALTHY ST SE, Grand Rapids, MI 49506
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Other Identifiers 3

Medicare ID-Type Unspecified5700015
Medicaid1090530MI
Medicare UPINF02021

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%27 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. STEVEN DENHOF D.O.
Emergency Medicine
1840 WEALTHY ST SE
GRAND RAPIDS, MI 49506
Kent County (616) 391-1730
EDWARD K LEE DO
Radiology (Radiation Oncology)
1840 WEALTHY ST SE
EAST GRAND RAPIDS, MI 49506
Kent County (616) 774-7845
BRYANT W PIERCE MD
Emergency Medicine (Emergency Medical Services)
1840 WEALTHY ST SE
GRAND RAPIDS, MI 49506
Kent County (616) 774-7444
ALYSON PETERS
Occupational Therapist
1840 WEALTHY ST SE
GRAND RAPIDS, MI 49506
Kent County (616) 774-7444
DR. SARA RISH URQUHART MD
Emergency Medicine
1840 WEALTHY ST SE
GRAND RAPIDS, MI 49506
Kent County (616) 391-1730
MR. JASON ANDREW RILEY CRNA
Nurse Anesthetist, Certified Registered
1840 WEALTHY ST SE
GRAND RAPIDS, MI 49506
Kent County (616) 774-7870
JUSTIN KYLE ERNST PA-C
Physician Assistant
1840 WEALTHY ST SE
GRAND RAPIDS, MI 49506
Kent County (616) 391-1730
BEESHAE WILKERSON P.A.
Nurse Practitioner
1840 WEALTHY ST SE, MC 426
GRAND RAPIDS, MI 49506
Kent County (616) 774-5221

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 David Peterson's NPI number?

The NPI number for David Peterson is 1962532465. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is David Peterson located?

David Peterson practices at 1840 Wealthy St SE, Grand Rapids, MI 49506. The listed phone number is (734) 464-0887.

What is David Peterson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for David Peterson was last updated on October 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.