P Praxis·MD
● Active Type 1 · Individual

Peter Stevan Jerome, M.D.

Internal Medicine·Longview, TX· NPI 1396740668 · Enumerated 2005 · 20 years on NPI
Jerome is 1 of 16 internal medicine providers in Longview and 1 of 1318 in Texas.
NPI age
20 years
Enumerated 2005-06-14
Primary specialty
Internal Medicine
Plus 5 subspecialties
Licensed in
TX, ND, MN, WI, ID
5 states
Status
Active
No deactivations on record
Last NPPES update
2021-01-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1318 active internal medicine providers in Texas.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
5 states
Top 84% — 15% of peers are multi-state
Subspecialties
2
In the 57% of peers with subspecialties

NPI lifetime · 2005 → 2026

2005-06Enumerated in NPPES
2005 2026

Where they practice

Practice location
700 E Marshall Ave
Longview, TX 756015580
📞 9033151488fax 9033151656
Mailing address
1000 1st Dr Nw
Austin, MN 559122941
📞 5074337351

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
1000 1st Dr Nw
Austin, MN 559122941
📞 5074337351
Location 3
215 E Hawaii Ave
Nampa, ID 836866011
📞 2084633000fax 2084633035

Specialties

  • Internal Medicine Primary
    An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex...
    TX license #P4321MN license #51376WI license #23793ID license #M-12784 taxonomy 207RP1001X
  • Internal Medicine
    An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the...
    ND license #12731 taxonomy 207RC0200X
  • Internal Medicine
    An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders....
    ID license #M-12784 taxonomy 207RS0012X

Identifiers

TypeValueNotes
01 (MN) P00849680 RAILROAD MEDICARE
01 (TX) P02137176 MEDICARE RAILROAD
05 (TX) 393948001
05 (IA) ENROLLED
05 (WI) 31692500
Multi-state credentialing: Licensed in 5 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 165 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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