DR. PETER DSA (MD) – Gastroenterology Physician, NPI 1730188129

DR. PETER DSA (MD) is a healthcare provider. based in Sylacauga, Alabama. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. MD27526 (AL). The NPI Number for DR. PETER DSA (MD) is 1730188129

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. PETER DSA (MD)
NPI
1730188129
Phone
(256) 249-6050
Address
126 S ANNISTON AVE
Enumeration Date
18 July 2005
Last Update Date
15 November 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7725676181
Graduation Year
1980 (46 years ago)
PAC ID
8527964592
Group Practice PAC ID
5294048609
Professional Enrollment ID
I20251030001198
Address ID
FL349504865FO2215XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

239 GASTROENTEROLOGY in AL

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Provider Addresses for DR. PETER DSA (MD)

  • 126, South Anniston Avenue, Sylacauga, Talladega County, Alabama, 35150, United States

    SYLACAUGA, AL 351502904

    Phone: (256) 249-6050

    Fax: (256) 249-6053

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251030001198IGastroenterologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35150)

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Provider's Procedures

DR. PETER DSA (MD) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYAL45378Diagnostic examination of large bowel using an endoscope2222

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294048609View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. PETER DSA (MD)?
DR. PETER DSA (MD) — NPI 1730188129 — is the standard way to identify this listing.
Does the file indicate DR. PETER DSA (MD) is practicing under active NPI?
Directory data currently reports DR. PETER DSA (MD) as active.
What is DR. PETER DSA (MD)'s specialty?
The listing groups DR. PETER DSA (MD) with Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. PETER DSA (MD) on a map?
Expect Sylacauga, Alabama as a primary anchor for DR. PETER DSA (MD) unless the record lists multiple sites.
Is the information about DR. PETER DSA (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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