Kenneth Petersen, MD
NPI 1912017104 · Internal Medicine Physician · Glendale, AZ
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Petersen, MD is a Internal Medicine Physician provider in Glendale, AZ (NPI 1912017104).
Provider details
- NPI number
- 1912017104
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 64419 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
488 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 263 | $123 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 71 | $88 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 47 | $174 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 43 | $125 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 30 | $161 |
| Telephone Medical Discussion With Physician, 21-30 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 74 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 321 | 107 |
| Lisinopril | 244 | 70 |
| Levothyroxine Sodium | 213 | 67 |
| Amlodipine Besylate | 153 | 48 |
| Metformin Hcl | 110 | 29 |
| Rosuvastatin Calcium | 101 | 30 |
| Losartan Potassium |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2025-10-01
- Certified
- 2025-10-01
Frequently asked questions
- What is Kenneth Petersen's NPI number?
- Kenneth Petersen's National Provider Identifier (NPI) is 1912017104, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Petersen's specialty?
- Kenneth Petersen is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth Petersen located?
- Kenneth Petersen's practice location on file with NPPES is 7701 W Aspera Blvd, Glendale, AZ 85308-7947.
- What is Kenneth Petersen's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Petersen is (623) 465-6060.
- Does Kenneth Petersen accept Medicare?
- Kenneth Petersen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Petersen's NPI active?
- Yes — Kenneth Petersen's NPI (1912017104) is active in the NPPES registry as of the last update on 2025-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.