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Dr. Mitchell Alan Peterson , MD

Pediatrics • South Jordan, UT

Active NPI 1629489596 Individual Practitioner Male Practitioner
Practice location in NPPES

1268 W South Jordan Pkwy Ste 201
South Jordan, UT 840954653

Call 8012549700 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1268 W South Jordan Pkwy Ste 201

South Jordan, UT 840954653

Telephone 8012549700
Organization at the Same NPPES Address or Phone
Families First Pediatrics Llc Facility NPI 1194863589

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Salt Lake City, UT. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Open Payments general payments, program year 2025

All general payments: $261.18 across 14 records.

By nature of payment

  • Food and Beverage: $261.18 across 14 records.

Reporting-company totals (3 largest of 8)

  • Collegium Pharmaceutical, Inc.: $61.84 across 4 records.
  • Supernus Pharmaceuticals, Inc.: $43.69 across 2 records.
  • Tris Pharma Inc: $42.82 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Peterson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Peterson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in South Jordan and Utah

12 active clinicians are listed under Pediatrics with a practice address in South Jordan, UT (670 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in South Jordan

0% of these 12 clinicians have the CMS telehealth indicator.

0% of these 12 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 14 records totaling $261.18.

Manufacturer Payment Nature Product Type Amount ($)
Supernus Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
Qelbree General $29.61
KYOWA KIRIN, INC.
Food and Beverage
In-kind items and services
CRYSVITA General $27.14
Tris Pharma Inc
Food and Beverage
In-kind items and services
Onyda XR General $25.31
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
GARDASIL 9 General $19.49
Corium, LLC
Food and Beverage
In-kind items and services
Azstarys General $18.02
Tris Pharma Inc
Food and Beverage
In-kind items and services
Quillichew ER General $17.51
Collegium Pharmaceutical, Inc.
Food and Beverage
Cash or cash equivalent
Jornay PM General $16.91
Organon LLC
Food and Beverage
In-kind items and services
NEXPLANON General $16.81
Collegium Pharmaceutical, Inc.
Food and Beverage
Cash or cash equivalent
Jornay PM General $16.66
Corium, LLC
Food and Beverage
In-kind items and services
Azstarys General $16.47
Kowa Pharmaceuticals America, Inc.
Food and Beverage
In-kind items and services
ZORYVE General $14.90
Collegium Pharmaceutical, Inc.
Food and Beverage
Cash or cash equivalent
Jornay PM General $14.29
Supernus Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
Qelbree General $14.08
Collegium Pharmaceutical, Inc.
Food and Beverage
Cash or cash equivalent
Jornay PM General $13.98

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES UT 9529304-1205

A 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 of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20151229001123

Enrollment State Jurisdiction

UT

PECOS Control ID

3577864032

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

100 Mario Capecchi Dr

Salt Lake City, UT 841131103

Phone: 8016625700

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Student in an Organized Health Care Education/Training Program

âś…
NPI Profile Active August 03, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 03, 2017

Registered at 1268 W SOUTH JORDAN PKWY STE 201, SOUTH JORDAN, UT 840954653 (Tel: (801) 254-9700)

📍
Updated Business Mailing Address August 03, 2017

Registered at 1268 W SOUTH JORDAN PKWY STE 201, SOUTH JORDAN, UT 840954653 (Tel: (801) 254-9700)

👤
Provider Name / Credentials Updated August 03, 2017

Recorded as MITCHELL PETERSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2017

Pediatrics (license number reported to NPPES: UT 9529304-1205)

âś…
NPI Profile Active May 14, 2014

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) May 14, 2014

Registered at 100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 841131103 (Tel: 8016625700)

📍
Business Mailing Address (Initial Record) May 14, 2014

Registered at 100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 841131103

👤
Provider Name / Credentials (Initial Record) May 14, 2014

Recorded as MITCHELL PETERSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2014

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 14, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1629489596
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 14, 2014
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

1268 W South Jordan Pkwy Ste 201

South Jordan, UT 840954653

Phone: 8012549700

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.