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

Dr. Peter I Angelin, MD

Individual provider Internal Medicine Physician · NPI 1225133440

Dr. Peter I Angelin, MD is an Internal Medicine in Saint Louis, Missouri. Qualified in 1995, 31 years ago. Practices with Southeastern Physician Services PC, a 598-clinician group and works from 3 locations. Licensed in Missouri.

Years since qualifying
31
Licensed in
MO
In the registry since
2006
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

2345 Dougherty Ferry Rd
Saint Louis, MO 63122-3313
Phone: (314) 655-4486
Fax: (314) 485-1154
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2101 Corona Rd Ste 102, Columbia, MO 65203-2582 — (573) 234-1800
  • 1015 Bowles Ave, Fenton, MO 63026-2394 — (314) 655-4486

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2003010400 (MO)

Record details

NPI number1225133440
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 13, 2006
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Southeastern Physician Services Pc — 598 clinicians
Accepts Medicare assignment Not indicated
Practice locations8 on file with Medicare

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