Renuka E Peterson

M.D. | Pediatric Cardiology | Female

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Complete Profile:

Renuka E Peterson basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Renuka E Peterson
Credential :	M.D.
Gender :	Female

Business Address:

Renuka E Peterson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1465 S Grand Blvd Saint Louis, MO, 63104-1003 United States
Phone Number :	314-577-5380
Fax Number :	314-268-4141

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1194823310
NPI Entity Type :	Individual
First Enrolment Date :	20 Sep, 2006
Last Updated On :	20 Jan, 2021

Medicare Participation:

Renuka E Peterson participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	1052340155
Medicare Enrollment ID :	I20091019000388
Primary Specialty :	Cardiovascular Disease (cardiology)
Medical School :	Harvard Medical School
Graduation Year :	1999
Accepts Medicare?	Yes. Renuka E Peterson accepts medicare insurance.

Group Practice Association:

Renuka E Peterson is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Renuka E Peterson is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Ssm Health Care Group	0143608372	564	1465 S Grand Blvd Saint Louis, MO - 631041003 Ph: 3145775641	Yes
Ssm Health Care Group	0143608372	564	10101 Woodfield Ln Saint Louis, MO - 631322946 Ph: 6082804647	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Renuka E Peterson are as mentioned. Primary taxonomy code for Renuka E Peterson, M.D. is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	Yes	2009020687	MO
2080P0202X	Pediatrics Pediatric Cardiology	No	A78953	CA

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1465 S Grand Blvd Saint Louis, MO, 63104-1003 United States
Phone Number :	314-577-5633
Fax Number :	314-268-4141

Business Location:

Patients can refer following map for directions to Renuka E Peterson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.