PETERSON METELLUS MD
NPI 1992315311
Psychiatry & Neurology - Psychiatry in Brooklyn, NY

Q: What is Peterson Metellus's NPI number?

The NPI number for Peterson Metellus is 1992315311. It was assigned to this individual provider in the NPPES registry on August 1, 2020.

Q: What is Peterson Metellus's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Peterson Metellus was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 August 01, 2020PECOS Enrolled

1545 ATLANTIC AVE, BROOKLYN, NY 11213(732) 584-3500 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 27, 2026, Aug 1, 2020 (2 updates tracked since 2020).

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About Peterson Metellus Md NPPES

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

PETERSON METELLUS MD (NPI 1992315311) is an individual psychiatry provider in Brooklyn, New York, licensed in New York (323900) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS, is affiliated with Brookdale Hospital Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1992315311

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NamePETERSON METELLUSCredential: MD

Location Address1545 ATLANTIC AVEBrooklyn, NY 11213-1122

Mailing Address1545 Atlantic AveBrooklyn, NY 11213-1122 · (718) 613-6805 · Fax (937) 466-0972

Phone(732) 584-3500

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 1, 2020

Last NPPES UpdateApril 27, 20262 updates tracked since enumeration

NPPES CertifiedApril 27, 2026

✔ NPI 1992315311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in NY · 323900

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPsychiatry & Neurology · Forensic PsychiatryTaxonomy 2084F0202X · License 323900 (NY)

1545 ATLANTIC AVE, Brooklyn, NY 11213

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peterson Metellus Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012405616

PECOS Enrollment IDI20251024001716

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Brookdale Hospital Medical Center

Acute Care Hospitals · Brooklyn, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330233

Location1 Brookdale PlazaBrooklyn, NY 11212 · Kings County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11213 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

$203.53 typical visit price

range $67.40 – $203.53

Typical copayment $50.88 (range $16.85 – $50.88)

Most-billed visit code 99205

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

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.

DR. SADHANA BOSE MD

Pediatrics

1545 ATLANTIC AVE, INTERFAITH MEDICAL CENTER
BROOKLYN, NY 11213

Kings County (718) 613-4000

QINGWEN ZHENG

Student in an Organized Health Care Education/Training Program

1545 ATLANTIC AVE, DEPARTMENT OF MEDICINE
BROOKLYN, NY 11213

Kings County (605) 670-8415

DR. BILAL SHAHZAD AZAM KHAN M.B.B.S

Student in an Organized Health Care Education/Training Program