IndividualActive
Michael Petersen, M.D.
NPI 1881798379 · Pediatric Emergency Medicine (Pediatrics) Physician · Austin, TX
Provider details
- NPI number
- 1881798379
- Entity type
- Individual
- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 2006027561 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
12356 Riata Trace Pkwy # 6006-B
Austin, TX 78727-6417
Phone: (512) 506-7000
Fax: (314) 251-4450
Street-level locationGet directions
Mailing address
12356 Riata Trace Pkwy # 6006-B
Austin, TX 78727-6417
Additional practice locations (1)
- 621 S New Ballas Rd6006-BSaint Louis, MO 63141-8232Phone: (314) 251-6299Fax: (314) 251-4450
Registry dates
- Enumerated
- 2006-09-12
- Last updated
- 2019-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.