IndividualActive
Tara Petersen, M.D.
NPI 1427255785 · Pediatric Critical Care Medicine Physician · Milwaukee, WI
Provider details
- NPI number
- 1427255785
- Entity type
- Individual
- Primary specialty
- Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MT189036 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
9000 W Wisconsin Ave
Ms 681
Milwaukee, WI 53226-4874
Phone: (414) 266-3360
Fax: (414) 266-3563
Street-level locationGet directions
Mailing address
9000 W Wisconsin Ave
Milwaukee, WI 53226-4874
Registry dates
- Enumerated
- 2007-06-29
- Last updated
- 2019-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.