Peter Pan, MD
NPI 1124003256 · Anesthesiology Physician · Winston Salem, NC
Enrolled with Medicare as Practitioner - Anesthesiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peter Pan, MD is a Anesthesiology Physician provider in Winston Salem, NC (NPI 1124003256).
Provider details
- NPI number
- 1124003256
- Entity type
- Individual
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 200101585 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-12-13
- Last updated
- 2017-09-08
Frequently asked questions
- What is Peter Pan's NPI number?
- Peter Pan's National Provider Identifier (NPI) is 1124003256, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Peter Pan's specialty?
- Peter Pan is listed in the NPPES registry with a primary specialty of Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is Peter Pan located?
- Peter Pan's practice location on file with NPPES is Medical Center Blvd, Winston Salem, NC 27157-0001.
- What is Peter Pan's phone number?
- The practice phone number listed in the NPPES registry for Peter Pan is (336) 716-2255.
- Does Peter Pan accept Medicare?
- Peter Pan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Peter Pan's NPI active?
- Yes — Peter Pan's NPI (1124003256) is active in the NPPES registry as of the last update on 2017-09-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.