DR. RICHARD ALPHONSO PETERSEN (M.D.) – Obstetrics & Gynecology Physician, NPI 1841203197

DR. RICHARD ALPHONSO PETERSEN (M.D.) is a healthcare provider. based in South miami, Florida. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. ME 62814 (FL). The NPI Number for DR. RICHARD ALPHONSO PETERSEN (M.D.) is 1841203197

Main info

Male
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. RICHARD ALPHONSO PETERSEN (M.D.)
NPI
1841203197
Phone
(786) 497-4480
Address
6200 SUNSET DR
Enumeration Date
15 August 2006
Last Update Date
14 April 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3052734641
Graduation Year
1984 (42 years ago)
PAC ID
1658359781
Group Practice PAC ID
8921091786
Professional Enrollment ID
I20040713001305
Address ID
FL331334741MI3225XAVEX305
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,540 OBSTETRICS/GYNECOLOGY in FL

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Provider Addresses for DR. RICHARD ALPHONSO PETERSEN (M.D.)

  • Sunset Drive, South Miami, Miami-Dade County, Florida, United States

    SUITE 502

    SOUTH MIAMI, FL 331434828

    Phone: (786) 497-4480

    Fax: (786) 497-4485

    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)

CMS reports 35 Open Payments records for all available years, with a total value of $883.

Total Amount is formed as General ($883) + Research ($0) + Ownership ($0) = $883.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: MAYNE PHARMA COMMERCIAL LLC ($324).

Total Amount

$883

General + Research + Ownership

Payments

35

Total payment records

General Amount

$883

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-07-13

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
I20040713001305IObstetrics/GynecologyFLTBD

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 33143)

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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: 8921091786View full group profile
NameSpecialtyState
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
U R O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YFL
-FL
-FL
Nurse PractitionerFL
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YVA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. RICHARD ALPHONSO PETERSEN (M.D.)'s NPI?
Yes. DR. RICHARD ALPHONSO PETERSEN (M.D.) is listed with NPI 1841203197 in the public NPI dataset.
Does CMS list DR. RICHARD ALPHONSO PETERSEN (M.D.) as active?
Yes — DR. RICHARD ALPHONSO PETERSEN (M.D.) is active in the NPI listing used on this page.
What is DR. RICHARD ALPHONSO PETERSEN (M.D.)'s specialty?
The listing groups DR. RICHARD ALPHONSO PETERSEN (M.D.) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. RICHARD ALPHONSO PETERSEN (M.D.)?
DR. RICHARD ALPHONSO PETERSEN (M.D.)'s geographic hint is South Miami, Florida in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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