Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487844791 Individual Practitioner Male Practitioner

Dr. Nicolas Lee Peters , MD

Pediatrics • Mesa, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Nicolas Peters, MD is a registered healthcare professional specializing in Pediatrics in Mesa, AZ. Practice services are available at 2204 S DOBSON RD STE 102 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2204 S Dobson Rd Ste 102

Mesa, AZ 852026457

Telephone 4804855166
Fax 8779916652
Associated Practice Facility / Clinic
🏢 Pimri, Llc Facility NPI 1225660467

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.1 Yrs
State Avg: 23.5 Yrs
Regional Practice Density
64 Specialists

Practicing in Mesa, AZ (1353 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-01
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NM MD2017-0087

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License AZ 48190

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License OH 35.094612

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Pediatric Hematology-Oncology

NUCC Taxonomy Code: 2080P0207X

State License OH 35.094612

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Pediatrics - Pediatric Hematology-Oncology

NUCC Taxonomy Code: 2080P0207X

State License AZ 48190

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License AZ 48190

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License NM MD2017-0087

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Specialist/Technologist, Pathology - Medical Technologist

NUCC Taxonomy Code: 246QM0706X

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
845215 (AZ)
Medicaid State Provider ID
98035339 (NM)
Medicaid State Provider ID
0070938 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Misty Shadduck , LPN

Licensed Practical Nurse

NPI 1043080476

Licensed Practical Nurse

Emily Sauber

Emergency Medical Technician, Paramedic

NPI 1922930403

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

18 Historical Events
📍
Updated Practice Location September 20, 2025

Registered at 2204 S DOBSON RD STE 102, MESA, AZ 852026457 (Tel: 4804855166)

📍
Updated Business Mailing Address September 20, 2025

Registered at 70 S VAL VISTA DR STE A3-618, GILBERT, AZ 852961374 (Tel: 4804855166)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2025

Pediatrics (License #48190 in AZ)

📍
Updated Practice Location February 05, 2020

Registered at 2111 COLLEGE DR, GALLUP, NM 873015600 (Tel: 5058631820)

📍
Updated Business Mailing Address February 05, 2020

Registered at 70 S VAL VISTA DR STE A3-618, GILBERT, AZ 852960942 (Tel: 4804855166)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2020

Pediatrics (License #MD2017-0087 in NM)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Pediatrics (License #35.094612 in OH)

NPI Profile Active October 03, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 03, 2017

Registered at 2055 E SOUTHERN AVE, SUITE B, TEMPE, AZ 852827507 (Tel: 4807043446)

📍
Updated Business Mailing Address October 03, 2017

Registered at 2055 E SOUTHERN AVE, SUITE B, TEMPE, AZ 852827507 (Tel: 4807043446)

👤
Provider Name / Credentials Updated October 03, 2017

Recorded as NICOLAS PETERS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2017

Pediatrics (License #35.094612 in OH)

NPI Profile Active June 16, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 16, 2016

Registered at 2055 E SOUTHERN AVE, SUITE B, TEMPE, AZ 852827507 (Tel: 4807043446)

📍
Updated Business Mailing Address June 16, 2016

Registered at 2055 E SOUTHERN AVE, SUITE B, TEMPE, AZ 852827507 (Tel: 4807043446)

👤
Provider Name / Credentials Updated June 16, 2016

Recorded as NICOLAS PETERS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2016

Pediatrics (License #48190 in AZ)

🟢
Initial NPI Registration & Enumeration August 01, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487844791
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2007
Last Update: June 01, 2026
Sole Proprietor: No

Mailing Address

70 S Val Vista Dr Ste A3-618

Gilbert, AZ 852961374

Phone: 4804855166

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.