Timothy Peterson, MD
Timothy Peterson, MD is an Addiction Medicine (Preventive Medicine) Physician in Grand Forks, ND, registered under NPI 1134211568. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 3674 S WASHINGTON ST, Grand Forks, ND 58201. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 7777 | ND | Addiction Medicine (Preventive Medicine)… primary |
| 7777 | ND | Family Medicine Physician |
| 7777 | ND | Psychiatry Physician |
This provider holds licence 7777 issued in ND. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Family Practice
- PAC ID
- 9739197567
Medicare enrolment is recorded as approved under the provider type Practitioner - Family Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Addiction Medicine covers
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. NUCC Health Care Provider Taxonomy, code 2083A0300X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician Addiction Medicine | 7777 | ND | primary |
| 207Q00000X | Family Medicine Physician | 7777 | ND | |
| 2084P0800X | Psychiatry Physician Psychiatry | 7777 | ND |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1134211568 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Sep 30, 2006 |
| Last updated | Apr 13, 2026 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD |
| Practice address |
3674 S WASHINGTON ST Grand Forks, ND 58201 (701) 205-3000 Fax (701) 732-2501 |
| Mailing address |
PO BOX 5210 Grand Forks, ND 58206 |
| Other identifiers |
1694259
(AK) 1456145 (ND) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 3 | 4 | 2 | 1 | 1 | 5 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 6 | 4 | 4 | 1 | 2 | 5 | 3 |
Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.