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Active NPI 1598109480 Individual Practitioner Male Practitioner

Dr. Ryan Paul Peterson , MD

Pediatrics • Pflugerville, TX

Professional Overview & Biography Verified Profile Summary

Dr. Ryan Peterson, MD is a registered healthcare professional specializing in Pediatrics in Pflugerville, TX. Practice services are available at 2100 AUTUMN SLATE DR STE 150 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2100 Autumn Slate Dr Ste 150

Pflugerville, TX 786606034

Telephone 7372207200
Fax 5124067339
Associated Practice Facility / Clinic
🏢 Austin Regional Clinic, Pa Facility NPI 1053963025

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Pflugerville, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
13 Specialists

Practicing in Pflugerville, TX (5841 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX R5796

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 CA NO LICENSE YET

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License CA NO LICENSE YET

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
384811101 (TX)
Medicaid State Provider ID
384811102 (TX)

Practice Associates & Co-Workers

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

16 Associated Practitioners
Dr. Hector Sanchez , MD

Internal Medicine

NPI 1073920575

Doctor of Medicine (M.D.)

NPI 1083119663

Doctor of Medicine (M.D.)

Jessica Mackert , RN, NP-C

Nurse Practitioner - Family

NPI 1093062515

Registered Nurse, Nurse Practitioner (Certified)

Dr. Jerett Zipin , DO

Neuromusculoskeletal Medicine, Sports Medicine

NPI 1154386829

Doctor of Osteopathic Medicine (D.O.)

Rejani Thomas , FNP

Nurse Practitioner - Family

NPI 1265851927

Family Nurse Practitioner

Dr. Noreen Valla , MD

Family Medicine

NPI 1265879332

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 25, 2019

Registered at 2100 AUTUMN SLATE DR STE 150, PFLUGERVILLE, TX 786606034 (Tel: 7372207200)

📍
Updated Practice Location September 21, 2018

Registered at 15803 WINDERMERE DR STE 103, PFLUGERVILLE, TX 786602482 (Tel: 5129892680)

📍
Updated Business Mailing Address September 21, 2018

Registered at 4515 SETON CENTER PKWY STE 215, AUSTIN, TX 787595785 (Tel: 5122315507)

NPI Profile Active April 22, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 22, 2013

Registered at 505 S MAIN ST, SUITE 525, ORANGE, CA 928684509 (Tel: 7144565631)

📍
Updated Business Mailing Address April 22, 2013

Registered at 505 S MAIN ST, SUITE 525, ORANGE, CA 928684509 (Tel: 7144565631)

👤
Provider Name / Credentials Updated April 22, 2013

Recorded as RYAN PETERSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2013

Pediatrics (License #NO LICENSE YET in CA)

🟢
Initial NPI Registration & Enumeration April 22, 2013

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: 1598109480
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 22, 2013
Last Update: October 25, 2019
Sole Proprietor: No

Mailing Address

4515 Seton Center Pkwy Ste 215

Austin, TX 787595785

Phone: 5122315507

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.