DR. RICHARD ALVIN PETERSON (M.D.) – Neurology Physician, NPI 1699717561

DR. RICHARD ALVIN PETERSON (M.D.) is a healthcare provider. based in Minneapolis, Minnesota. specializing in Neurology Physician. They hold the professional credentials M.D.. They hold a License No. 47556 (MN). The NPI Number for DR. RICHARD ALVIN PETERSON (M.D.) is 1699717561

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. RICHARD ALVIN PETERSON (M.D.)
NPI
1699717561
Phone
Not provided
Address
8170 33RD AVE S # MS 21110Q
Enumeration Date
12 June 2006
Last Update Date
24 February 2021

Doctor Profile

Medical School Name
UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Secondary Phone
6517841611
Graduation Year
1999 (27 years ago)
PAC ID
5991747081
Group Practice PAC ID
1759293954
Professional Enrollment ID
I20050531000293
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. RICHARD ALVIN PETERSON (M.D.)

  • 8170 33RD AVE S # MS 21110Q

    MINNEAPOLIS, MN 554254516

    Phone:

    Type: Mailing

  • 640 JACKSON ST

    SAINT PAUL, MN 551012502

    Phone: (651) 254-3448

    Fax: (763) 302-4081

    Type: Location

  • 9825, Hospital Drive, The Grove, Maple Grove, Hennepin County, Minnesota, 55369, United States

    SUITE 103

    MAPLE GROVE, MN 553694769

    Phone: (763) 302-4114

    Fax: (763) 302-4081

    Type: Mailing

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 55425)

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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: 1759293954View full group profile

Reviews

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Frequently asked questions

How is DR. RICHARD ALVIN PETERSON (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. RICHARD ALVIN PETERSON (M.D.) with NPI 1699717561.
Is DR. RICHARD ALVIN PETERSON (M.D.) listed as active for patients and plans?
The listing shows DR. RICHARD ALVIN PETERSON (M.D.) as active in the NPI system.
What is DR. RICHARD ALVIN PETERSON (M.D.)'s primary classification?
Neurology Physician is the headline specialty for DR. RICHARD ALVIN PETERSON (M.D.) here. Clinical services aligned with this taxonomy classification.
Where is DR. RICHARD ALVIN PETERSON (M.D.) based?
DR. RICHARD ALVIN PETERSON (M.D.) is tied to Minneapolis, Minnesota in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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