DR. ANDREW ALBERT PETERSON M.D. NPI 1083842033

NPI Information

  • NPI: 1083842033
  • Provider Name: DR. ANDREW ALBERT PETERSON, M.D.
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 190 E BANNOCK ST
    BOISE, ID
    ZIP 83712
  • Phone: (208) 381-2094

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NPI Details

DR. Andrew Albert Peterson, M.D. is a vascular and interventional radiology radiology in Boise, ID with 17 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. DR. Andrew Albert Peterson, M.D. NPI is 1083842033. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

190 E BANNOCK ST
BOISE, ID
ZIP 83712-241
Phone: (208) 381-2094
Fax: (208) 381-1791

The NPI 1083842033 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Review by radiologist of ct guidance for needle placement (HCPCS:77012)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
  • Review by radiologist of abscess or sinus cavity study (HCPCS:76080)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Injection of contrast through abdominal cavity tube for x-ray study (HCPCS:49424)
  • Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Biopsy and aspiration of bone marrow sample for diagnosis (HCPCS:38222)
  • X-ray of abdomen, minimum of 3 views (HCPCS:74021)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch (HCPCS:36247)
  • Core needle biopsy of lung or center cavity of chest (mediastinum), accessed through skin (HCPCS:32408)
  • Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS:36902)
  • Needle biopsy of liver through skin (HCPCS:47000)
  • Removal of central venous tube with port or pump (HCPCS:36590)
  • Insertion of stomach tube using fluoroscopic guidance with contrast (HCPCS:49440)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ultrasound scan of abdominal aorta (HCPCS:76706)

The enumeration date for this NPI number is 6/29/2009 and was last updated on 7/22/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0204XRadiologyVascular & Interventional RadiologyM-13255IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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