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

Michael C Peterson, MD

Individual provider Family Medicine Physician · NPI 1902827322

Michael C Peterson, MD is an Internal Medicine in Provo, Utah. Graduated from University of Utah School of Medicine in 1991, 35 years ago. Practices with Central Valley Medical Center, a 25-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
35
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2006
Specialties on file
2
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

1034 N 500 W
Provo, UT 84604-3380
Phone: (801) 373-4366
Fax: (801) 429-8191
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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 187826-1205 (UT)
Family Medicine Physician Taxonomy 207Q00000X · Licence 187826-1205 (UT)

Record details

NPI number1902827322
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 21, 2006
Last updated in NPPESNovember 27, 2023
Certification dateMarch 17, 2020
Mailing address1055 N 500 W, Credentialing Department, Provo, UT 84604-3305

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Central Valley Medical Center — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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