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

Theodore A Peterson, MD

Individual provider Anesthesiology Physician · NPI 1457342628

Theodore A Peterson, MD is an Anesthesiology in Saint Cloud, Minnesota. Graduated from University of Minnesota Medical School in 1994, 32 years ago. Practices with Centracare Clinic Southwest LLC, a 172-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
32
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2005
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

1406 6th Ave N
Saint Cloud, MN 56303-1900
Phone: (320) 251-2700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 38293 (MN)

Record details

NPI number1457342628
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 4, 2005
Last updated in NPPESJuly 13, 2026
Mailing addressPo Box 725, Saint Cloud, MN 56302-0725

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 1994 (32 years in practice)
Group practice Centracare Clinic Southwest Llc — 172 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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