Doctor profile · Federal record
Dr. Thomas Peterson, MD
Pediatrics Physician · Grand Rapids, MI
- NPI 1639125453
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
100 Michigan St Ne
Grand Rapids, MI 495032560
(616) 391-5000
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- November 10, 2008
- Specialty taxonomy
- 208000000X — NUCC code
- State license (1)
- Michigan #4301051022
- Medicaid
- MI #4351022
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1639125453. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$15
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Genentech USA, INC. | 1 | $14.91 |
By nature of payment
Frequently asked questions
What is Dr. Thomas Peterson's medical specialty?
Dr. Thomas Peterson practices Pediatrics Physician in Grand Rapids, MI.
Where does Dr. Thomas Peterson practice?
Dr. Thomas Peterson practices at 100 Michigan St Ne, Grand Rapids, MI 495032560. Office phone: 6163915000.
What is Dr. Thomas Peterson's NPI?
Dr. Thomas Peterson's National Provider Identifier (NPI) is 1639125453, issued by NPPES.