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Dr. John E Peterson, MD

Internal Medicine, Cardiovascular Disease in Shawnee Mission, KS. Individual provider (NPI-1).

NPI number1346249554
StatusActive
Last updated in NPPESSep 15, 2020

Details

NPI
1346249554
Entity type
Individual (NPI-1)
Name
Dr. John E Peterson
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 19, 2005
Certification date
Sep 15, 2020
Last updated
Sep 15, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - CARDIOVASCULAR DISEASE (CARDIOLOGY)
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RC0000X Internal Medicine, Cardiovascular DiseaseR4J15MOYes

Practice location

9119 W 74th St
Suite 350
Shawnee Mission, KS 66204-2215

Phone 913-789-3290 · Fax 913-789-3208

Mailing address

901 E 104th St
Mailstop 400s
Kansas City, MO 64131

Phone 816-931-1883

Other practice locations

20 Ne Saint Lukes Blvd Ste 240
Lees Summit, MO 64086-6019

Phone 816-931-1883

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Cardiovascular Disease Physician providers in Shawnee Mission, KS

All 5 Cardiovascular Disease Physician providers in Shawnee Mission · All 478 providers in Shawnee Mission

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