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

Mr. Peter Perou, RPA-C

Individual provider Surgical Physician Assistant · NPI 1033345780

Mr. Peter Perou, RPA-C is a Physician Assistant in Estero, Florida. Qualified in 2006, 20 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and New York.

Years since qualifying
20
Licensed in
FL, NY
In the registry since
2009
Specialties on file
2

Practice location Address checks out

23450 Via Coconut Pt
Estero, FL 34135-1877
Phone: (239) 343-9696
Fax: (239) 343-4054
Show map & directions

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

Additional practice locations (1)

  • 1095 Park Ave, New York, NY 10128-1154 — (212) 427-7750

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9120012 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 011081 (NY)

Record details

NPI number1033345780
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedJune 9, 2009
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare