Theodore Peterson, MD, PHD
NPI 1922741701 · Student in an Organized Health Care Education/Training Program · Minneapolis, MN
Enrolled with Medicare as Order and Referring Only - Interventional Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodore Peterson, MD, PHD is a Student in an Organized Health Care Education/Training Program provider in Minneapolis, MN (NPI 1922741701).
Provider details
- NPI number
- 1922741701
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD, PHD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% 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
- 2022-04-19
- Last updated
- 2023-06-08
- Certified
- 2023-05-31
Frequently asked questions
- What is Theodore Peterson's NPI number?
- Theodore Peterson's National Provider Identifier (NPI) is 1922741701, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Peterson's specialty?
- Theodore Peterson is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Theodore Peterson located?
- Theodore Peterson's practice location on file with NPPES is 420 Delaware Street Se, Mmc 292, Minneapolis, MN 55455.
- What is Theodore Peterson's phone number?
- The practice phone number listed in the NPPES registry for Theodore Peterson is (612) 625-6916.
- Does Theodore Peterson accept Medicare?
- Theodore Peterson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodore Peterson's NPI active?
- Yes — Theodore Peterson's NPI (1922741701) is active in the NPPES registry as of the last update on 2023-06-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.