P Praxis·MD
● Active Type 1 · Individual

DR. Andrew Albert Peterson, M.D.

Radiology·Boise, ID· NPI 1083842033 · Enumerated 2009 · 16 years on NPI
Peterson is 1 of 7 radiology providers in Boise and 1 of 23 in Idaho.
NPI age
16 years
Enumerated 2009-06-29
Primary specialty
Radiology
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-07-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 23 active radiology providers in Idaho.

NPI age
16 years
↓ 3 yr below median (19 yr)
State licenses
1 state
26% of peers hold multiple states
Subspecialties
0
69% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-06Enumerated in NPPES
2009 2026

Where they practice

Practice location
190 E Bannock St
Boise, ID 837126241
📞 2083812094fax 2083811791
Mailing address
190 E Bannock St
Boise, ID 837126241
📞 2083812094fax 2083811791

Specialties

  • Radiology Primary
    A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
    ID license #M-13255 taxonomy 2085R0204X

Practice context

Part of a multi-provider practice. 671 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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