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

Dr. Mark David Peterson, MD

Individual provider Surgery Physician · NPI 1326148800

Dr. Mark David Peterson, MD is a Thoracic Surgery in Phoenix, Arizona. Qualified in 1998, 28 years ago. Practices with New York University, a 5,884-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona and New York.

Years since qualifying
28
Licensed in
AZ, NY
In the registry since
2006
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

2632 N 20th St
Phoenix, AZ 85006-1339
Phone: (602) 266-2200
Fax: (602) 240-6177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence 321958 (NY)
Surgery Physician Taxonomy 208600000X · Licence 35706 (AZ)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 35706 (AZ)

Record details

NPI number1326148800
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 24, 2006
Last updated in NPPESSeptember 18, 2023
Certification dateSeptember 18, 2023
Mailing addressPo Box 61773, Phoenix, AZ 85082-1773

Medicare enrollment

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

Medicare specialtyTHORACIC SURGERY
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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