Individual provider

Jill Peterson, DO

Family Medicine Physician Emergency Medicine Physician Medicare enrolled

Jill Peterson, DO is a Family Medicine Physician in Watertown, NY, registered under NPI 1629074232. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 622 WASHINGTON ST COMPREHENSIVE WOMENS HEALTH SERVICES, Watertown, NY 13601. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

622 WASHINGTON ST COMPREHENSIVE WOMENS HEALTH SERVICES, Watertown, NY 13601 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
231343 NY Family Medicine Physician primary
231343 NY Emergency Medicine Physician

This provider holds licence 231343 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Family Practice
PAC ID
5890786602
Enrollment ID
I20040520000925

Medicare enrolment is recorded as approved under the provider type Practitioner - Family Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Family Medicine covers

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NUCC Health Care Provider Taxonomy, code 207Q00000X
Allopathic & Osteopathic Physicians Family Medicine

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207Q00000X Family Medicine Physician 231343 NY primary
207P00000X Emergency Medicine Physician 231343 NY

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.

NPI1629074232 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 28, 2005
Last updatedMar 26, 2010
StatusActive
Sole proprietorNo
GenderFemale
CredentialDO
Practice address 622 WASHINGTON ST
COMPREHENSIVE WOMENS HEALTH SERVICES
Watertown, NY 13601
(315) 788-2003
Fax (315) 788-7087
Mailing address 445 FACTORY ST
Watertown, NY 13601
This record was last updated on Mar 26, 2010, roughly 16 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1629074232 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
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 6 2 9 0 7 4 2 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 4 9 0 7 8 2 6

Sum = 68 · next multiple of 10 = 70 · check digit = 2 · actual last digit = 2

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.

Common questions

What is NPI number 1629074232?
NPI 1629074232 is the National Provider Identifier assigned to Jill Peterson, DO in Watertown, NY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family Medicine Physician cover?
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
How do I contact Jill Peterson, DO?
The phone number on file with NPPES is (315) 788-2003, last updated Mar 26, 2010. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jill Peterson, DO accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1629074232 a valid number?
Yes. 1629074232 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.