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

Timothy A Peterson, MD

Individual provider Addiction Medicine (Preventive Medicine) Physician · NPI 1134211568

Timothy A Peterson, MD is a Family Practice in Grand Forks, North Dakota. Qualified in 1992, 34 years ago. Practices with Peterson Medical Clinics LLC, a 89-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in North Dakota.

Years since qualifying
34
Licensed in
ND
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3674 S Washington St
Grand Forks, ND 58201-5766
Phone: (701) 205-3000
Fax: (701) 732-2501
Show map & directions

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

Additional practice locations (2)

  • 508 Upland St, Kenai, AK 99611-8026 — (907) 335-7500
  • 206 W Rockwell Ave, Soldotna, AK 99669-7439 — (907) 335-7500

Specialties & licences

Addiction Medicine (Preventive Medicine) Physician (primary) Taxonomy 2083A0300X · Licence 7777 (ND)
Family Medicine Physician Taxonomy 207Q00000X · Licence 7777 (ND)
Psychiatry Physician Taxonomy 2084P0800X · Licence 7777 (ND)

Record details

NPI number1134211568
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 30, 2006
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Peterson Medical Clinics Llc — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations10 on file with Medicare