Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Charles Smith Peterson, MD

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1952302143

Dr. Charles Smith Peterson, MD is a Sports Medicine in Mesa, Arizona. Graduated from Northwestern University Feinberg Medical School in 1998, 28 years ago. Practices with Vhs Outpatient Clinics Inc, a 206-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
28
Trained at
Northwestern University Feinberg Medical School
Licensed in
AZ
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3130 E Baseline Rd Ste 101
Mesa, AZ 85204-7290
Phone: (480) 558-3744
Fax: (480) 558-3801
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 28027 (AZ)

Record details

NPI number1952302143
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 10, 2005
Last updated in NPPESJuly 30, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolNORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated 1998 (28 years in practice)
Group practice Vhs Outpatient Clinics Inc — 206 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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