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NPI · 1790032530 · NPPES-sourced

Dr. Kyle Petersen D.O.

ActiveFamily Medicine
NPI Number
1790032530
Type 1 · Individual
Taxonomy Code
207Q00000X
Contact
(754) 206-8250
License FL · OS11815
Last Updated
Enumerated
Primary practice addressFL · 33024-2258
3157 N University Dr Ste 101Hollywood, FL 33024-2258
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About this NPIWhat this record shows.

NPI 1790032530 is registered to Dr. Kyle Petersen D.O., a Family Medicine practising at 3157 N University Dr Ste 101 in Hollywood, Florida. Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment. Dr. Kyle Petersen D.O. has been enumerated in the National Provider Identifier (NPI) registry since 2012.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Kyle Petersen D.O. accepts. To confirm in-network status with your specific health plan, contact Dr. Kyle Petersen D.O. directly at (754) 206-8250.

Frequently asked

Yes. NPI 1790032530 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (754) 206-8250.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Kyle Petersen D.O. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207Q00000X
Last updated
Enumerated
StatusActive
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