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Deactivated NPI 1124129754 Deactivated / Inactive NPI Male Practitioner

Dr. Robert L Peterson , MD

General Practice • Topeka, KS

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Peterson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 26, 2006
NPI Deactivation Date August 30, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Peterson, MD was a registered General Practice practicing in Topeka, KS. Throughout an active medical career spanning 19 years, Dr. Peterson provided care at the practice location at 6725 SW 29TH ST until profile deactivation on 2025-08-30.

Historical Medicare Part B clinical services included established patient outpatient office visit, urinalysis, manual test, administration of influenza virus vaccine. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

6725 Sw 29th St

Topeka, KS 666145625

Telephone 7854781500
Fax 7854781508

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Topeka, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.0 Yrs
Regional Practice Density
5 Specialists

Practicing in Topeka, KS (70 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
39.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
88 86 $98.00 $68.76
81002 Urinalysis, manual test
12 12 $20.33 $3.41

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License KS 04-12948

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

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

10 Associated Practitioners
Dr. Gerard Coulon , MD

General Practice

NPI 1073597225

Doctor of Medicine (M.D.)

Jordan Thornburg , PA-C

Physician Assistant

NPI 1073906426

Physician Assistant (Certified)

Renae Carsten , APRN

Nurse Practitioner

NPI 1093245029

Advanced Practice Registered Nurse

Danielle Balthazor , APRN

Nurse Practitioner

NPI 1154851186

Advanced Practice Registered Nurse

Faith Bohn , APRN

Nurse Practitioner

NPI 1184334443

Advanced Practice Registered Nurse

Cesali Shaver , PA-C

Physician Assistant

NPI 1275000739

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 30, 2025

Record deactivated on August 30, 2025

NPI Profile Active June 09, 2014

NPI status registered as active in NPPES database

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Updated Practice Location June 09, 2014

Registered at 6725 SW 29TH ST, TOPEKA, KS 666145625 (Tel: 7854781500)

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Updated Business Mailing Address June 09, 2014

Registered at 6725 SW 29TH ST, TOPEKA, KS 666145625 (Tel: 7854781500)

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Provider Name / Credentials Updated June 09, 2014

Recorded as ROBERT PETERSON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2014

General Practice (License #04-12948 in KS)

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Initial NPI Registration & Enumeration September 26, 2006

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: 1124129754
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2006
Last Update: June 09, 2014
Deactivation Date: August 30, 2025

Mailing Address

6725 Sw 29th St

Topeka, KS 666145625

Phone: 7854781500

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.