NADJA G PETER (M.D.) – Adolescent Medicine (Internal Medicine) Physician, NPI 1104834845

NADJA G PETER (M.D.) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in PEDIATRIC MEDICINE, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD058926L (PA). The NPI Number for NADJA G PETER (M.D.) is 1104834845

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
NADJA G PETER (M.D.)
NPI
1104834845
Phone
(215) 590-2178
Address
3550 MARKET ST FL 4
Enumeration Date
4 August 2006
Last Update Date
21 March 2023

Doctor Profile

Medical School Name
COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
2154278363
Graduation Year
1994 (32 years ago)
PAC ID
7719037290
Group Practice PAC ID
7315372323
Professional Enrollment ID
I20090603000348
Address ID
PA191246018PH300XXAVEX503
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,236 PEDIATRIC MEDICINE in PA

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Provider Addresses for NADJA G PETER (M.D.)

  • Market Street, Rittenhouse Square, Philadelphia, Philadelphia County, Pennsylvania, 19104-2989, United States

    CHOP CARE NETWORK AT MARKET ST - ADOLESCENT MED

    PHILADELPHIA, PA 191043368

    Phone: (215) 590-2178

    Fax: (215) 590-4619

    Type: Location

  • PO BOX 13579

    READING, PA 196123579

    Phone: (484) 628-1324

    Fax: (484) 334-7026

    Type: Mailing

  • 160 E ERIE AVE

    PHILADELPHIA, PA 191341011

    Phone: (215) 427-3802

    Fax: (215) 427-3801

    Type: Location

  • 100, East Penn Square, Philadelphia, Philadelphia County, Pennsylvania, 19107, United States

    9TH FLOOR

    PHILADELPHIA, PA 191073323

    Phone: (267) 425-9232

    Fax: (267) 425-9299

    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.

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: 2009-06-03

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
I20090603000348IPediatric MedicinePATBD

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 19104)

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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: 7315372323View full group profile
NameSpecialtyState
Pediatric Medicine, EndocrinologyPA
Pediatric Medicine, Cardiovascular Disease (Cardiology), Pediatric MedicinePA
Pediatric Medicine, Infectious DiseasePA
N E P H R O L O G YNY
Certified Registered Nurse Anesthetist (Crna)PA
Allergy/Immunology, Pediatric MedicinePA
Certified Registered Nurse Anesthetist (Crna)PA
Pediatric MedicinePA
A N E S T H E S I O L O G YIN
Nurse PractitionerNY

Reviews

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Frequently asked questions

What unique ID ties claims to NADJA G PETER (M.D.)?
NPI 1104834845 is assigned to NADJA G PETER (M.D.) under the national enumeration system.
Is NADJA G PETER (M.D.)'s NPI currently valid?
The extract we use shows NADJA G PETER (M.D.) as active.
What kind of provider is NADJA G PETER (M.D.)?
The page reflects Adolescent Medicine (Internal Medicine) Physician for NADJA G PETER (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place NADJA G PETER (M.D.)?
The snapshot lists Philadelphia, Pennsylvania for NADJA G PETER (M.D.); download NPPES for the complete set.
Is NADJA G PETER (M.D.) a real provider?
This page reflects official NPPES data for NPI 1104834845. Always confirm identity and privileges with the practice and licensing boards.

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