DR. JOHN PETER PETERSEN M.D. NPI 1790786895

NPI Information

  • NPI: 1790786895
  • Provider Name: DR. JOHN PETER PETERSEN, M.D.
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Individual
  • Address: 3555 10TH COURT
    INDIAN RIVER REGIONAL CANCER CENTER, IRMC
    VERO BEACH, FL
    ZIP 32960
  • Phone: (772) 794-3333

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NPI Details

DR. John Peter Petersen, M.D. is a radiation oncology radiology in Vero Beach, FL. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. DR. John Peter Petersen, M.D. NPI is 1790786895. 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:

3555 10TH COURT
INDIAN RIVER REGIONAL CANCER CENTER, IRMC
VERO BEACH, FL
ZIP 32960-862
Phone: (772) 794-3333
Fax: (772) 569-6949

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.

  • Ct guidance for insertion of radiation therapy fields (HCPCS:77014)
  • Radiation treatment management, 5 treatment sessions (HCPCS:77427)
  • Design and construction of complex radiation treatment device (HCPCS:77334)
  • Calculation of radiation therapy dose (HCPCS:77300)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Complex radiation therapy planning (HCPCS:77263)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved (HCPCS:77290)
  • Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS:77280)
  • 3d radiation therapy planning (HCPCS:77295)
  • High precision radiation therapy planning (HCPCS:77301)
  • Design and construction of radiation treatment device for high precision radiation therapy (HCPCS:77338)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Special radiation treatment (HCPCS:77470)

The enumeration date for this NPI number is 8/10/2005 and was last updated on 3/24/2020.

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
12085R0001XRadiologyRadiation OncologyME 64848FLORIDAYes

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
1374792100MEDICAIDFLORIDA
2920004346OTHERMEDICARE RR

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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