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

Nicholas Peterson, MD

Individual provider Colon & Rectal Surgery Physician · NPI 1205493335

Nicholas Peterson, MD is a Colorectal Surgery (Proctology) in Miami, Florida. Graduated from Un of British Columbia, Faculty of Medicine in 2019, 7 years ago. Practices with Einstein Practice Plan Inc, a 764-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Trained at
Un of British Columbia, Faculty of Medicine
Licensed in
FL
In the registry since
2019
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

1611 NW 12th Ave
Miami, FL 33136-1005
Phone: (305) 325-5511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence TRN40885 (FL)

Record details

NPI number1205493335
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 23, 2019
Last updated in NPPESJune 25, 2024
Certification dateMay 20, 2024
Mailing address1611 Nw 12th Ave, Miami, FL 33136-1005

Medicare enrollment

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

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolUN OF BRITISH COLUMBIA, FACULTY OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Einstein Practice Plan Inc — 764 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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