NPI age
19 years
Enumerated 2006-09-12
● Active
Type 1 · Individual
DR. Michael Charles Petersen, M.D.
Petersen is 1 of 15 pediatrics providers in Austin and 1 of 223 in Texas.
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
TX, MO
2 states
Status
Active
No deactivations on record
Last NPPES update
2019-09-04
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 223 active pediatrics providers in Texas.
NPI age
19 years
↑ 3 yr above median (16 yr)
State licenses
2 states
Top 60% — 39% of peers are multi-state
Subspecialties
1
In the 75% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-09Enumerated in NPPES
2006
2026
Where they practice
Practice location
12356 Riata Trace Pkwy # 6006-B
Austin, TX 787276417
Mailing address
12356 Riata Trace Pkwy # 6006-B
Austin, TX 787276417
Additional practice locations
1 secondary location on file with NPPES.
Location 2
621 S New Ballas Rd, 6006-B
Saint Louis, MO 631418232
Specialties
-
Pediatrics PrimaryA pediatrician who has special qualifications to manage emergencies in infants and children.
-
PediatricsA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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