DR. JURRIAAN M PETERS (MD) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1417135385

DR. JURRIAAN M PETERS (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. 250856 (MA). The NPI Number for DR. JURRIAAN M PETERS (MD) is 1417135385

Main info

Male
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. JURRIAAN M PETERS (MD)
NPI
1417135385
Phone
(617) 355-2067
Address
300 LONGWOOD AVE
Enumeration Date
4 February 2008
Last Update Date
28 June 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6173556000
Graduation Year
2002 (24 years ago)
PAC ID
3870745367
Group Practice PAC ID
5496744195
Professional Enrollment ID
I20121207000396
Address ID
MA021155724BO300XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,144 NEUROLOGY in MA

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Provider Addresses for DR. JURRIAAN M PETERS (MD)

  • Children's Hospital Library, 300, Longwood Avenue, Roxbury, Boston, Suffolk County, Massachusetts, 02120, United States

    FEGAN 09

    BOSTON, MA 021155724

    Phone: (617) 355-2067

    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 100 Open Payments records for all available years, with a total value of $82,015.

Total Amount is formed as General ($82,015) + Research ($0) + Ownership ($0) = $82,015.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Neurelis, Inc. ($81,838).

Total Amount

$82,015

General + Research + Ownership

Payments

100

Total payment records

General Amount

$82,015

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2012-12-07

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
I20121207000396INeurologyMATBD

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 02115)

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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: 5496744195View full group profile
NameSpecialtyState
-MA
Pediatric Medicine, NeurologyMA
N E U R O L O G YMA
N E U R O L O G YMA
Neurology, Pediatric MedicineMA
Neurology, Pediatric MedicineMA
N E U R O L O G YMA
N E U R O L O G YMA
N E U R O L O G YMA
-MA

Reviews

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Frequently asked questions

What is the registry number for DR. JURRIAAN M PETERS (MD)?
The registry entry for DR. JURRIAAN M PETERS (MD) shows NPI 1417135385.
Is DR. JURRIAAN M PETERS (MD)'s NPI status active today?
Active status means DR. JURRIAAN M PETERS (MD)'s NPI record is not deactivated in the public file.
How should patients interpret DR. JURRIAAN M PETERS (MD)'s specialty?
The extract shows Neurology with Special Qualifications in Child Neurology Physician for DR. JURRIAAN M PETERS (MD). Clinical services aligned with this taxonomy classification.
Which community is linked to DR. JURRIAAN M PETERS (MD)?
DR. JURRIAAN M PETERS (MD) shows a connection to Boston, Massachusetts in registry-derived data.
Who maintains DR. JURRIAAN M PETERS (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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