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

Individual provider Internal Medicine Physician · NPI 1649541301

Dr. Kevin Jerome Peine, MD is an Internal Medicine in Mesa, Arizona. Qualified in 2012, 14 years ago. Practices with Banner Hospital Based Physicians Arizona LLC, a 641-clinician group and accepts Medicare assignment. Licensed in Arizona and New Mexico.

Years since qualifying
14
Licensed in
AZ, NM
In the registry since
2012
Specialties on file
3
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

6644 E Baywood Ave Banner Baywood Medical Ctr
Mesa, AZ 85206
Phone: (480) 321-3900
Fax: (480) 321-3840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD2017-0635 (NM)
Internal Medicine Physician Taxonomy 207R00000X · Licence 46381 (AZ)
Hospitalist Physician Taxonomy 208M00000X · Licence 46381 (AZ)

Record details

NPI number1649541301
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 25, 2012
Last updated in NPPESApril 16, 2019

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Banner Hospital Based Physicians Arizona Llc — 641 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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