Antonique Peterson, DO
NPI 1700377124ActiveIndividual· General Practice· Minneapolis, MN
General Practice (DO) in Minneapolis, Minnesota, trained at Arizona College of Osteopathic Medicine Mid Western University (class of 2018). Enrolled in Medicare as practitioner - family practice.
Overview
| NPI | 1700377124 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | May 21, 2018 |
| Last updated in NPPES | Oct 27, 2021 |
| Certified by provider | Oct 27, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 69440 | MN |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (GA) |
|---|
Education and affiliations
| Medical school | Arizona College of Osteopathic Medicine Mid Western University |
|---|---|
| Graduation year | 2018 |
| Medicare specialty | Family Practice |
Medical group
- Emory Physicians Group, LLCAtlanta, GA · 13 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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