KELLSEY PETERSON M.D. NPI 1487008983

NPI Information

  • NPI: 1487008983
  • Provider Name: KELLSEY PETERSON, M.D.
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2799 W GRAND BLVD
    DETROIT, MI
    ZIP 48202
  • Phone: (800) 653-6568

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NPI Details

Kellsey Peterson, M.D. is a cardiovascular disease internal medicine in Detroit, MI with 10 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Kellsey Peterson, M.D. NPI is 1487008983. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2799 W GRAND BLVD
DETROIT, MI
ZIP 48202-608
Phone: (800) 653-6568
Fax: (313) 876-1305

The NPI 1487008983 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.

  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician (HCPCS:93016)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician (HCPCS:93018)
  • Ultrasound of heart with color-depicted blood flow, rate and valve function (HCPCS:93325)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Ultrasound of heart, follow-up (HCPCS:93308)
  • Ultrasound of heart blood flow, valves and chambers, follow-up (HCPCS:93321)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • 3d radiographic procedure (HCPCS:76376)

The enumeration date for this NPI number is 4/20/2016 and was last updated on 9/19/2023.

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
1208M00000XHospitalist303757NEW YORKNo
2207R00000XInternal Medicine4301506898MICHIGANNo
3207RC0000XInternal MedicineCardiovascular Disease4301506898MICHIGANYes

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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