TIMOTHY PETERS MD NPI 1750478889

NPI Information

  • NPI: 1750478889
  • Provider Name: TIMOTHY PETERS, MD
  • Classification: Pediatrics - 2080P0208X
  • Specialization: Pediatric Infectious Diseases
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: MEDICAL CENTER BLVD
    WINSTON-SALEM, NC
    ZIP 27157
  • Phone: (336) 716-2255

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NPI Details

Timothy Peters, MD is a pediatric infectious diseases pediatrics in Winston-salem, NC. The provider is a pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. Timothy Peters, MD NPI is 1750478889. 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:

MEDICAL CENTER BLVD
WINSTON-SALEM, NC
ZIP 27157-001
Phone: (336) 716-2255

The NPI 1750478889 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 enumeration date for this NPI number is 10/9/2006 and was last updated on 1/18/2012.

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
1207RI0200XInternal MedicineInfectious DiseaseMD31615TENNESSEENo
22080P0208XPediatricsPediatric Infectious Diseases2007-00114NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Q00114MEDICAIDSOUTH CAROLINA
2145YKOTHERBCBS
3196290OTHERMEDCOST
43810008320MEDICAIDWEST VIRGINIA
5H88985MEDICARE UPIN
62064426MEDICARE PIN
7810655OTHERPARTNERS
87093512OTHERAETNA
95906322MEDICAIDNORTH CAROLINA

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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