Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Randolph K. Peterson, M.D.

Anatomic Pathology & Clinical Pathology Physician in Edina, MN · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053380204

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Registry record

Entity type Individual (Type 1)

Name Dr. Randolph K. Peterson

Credential M.D.

Sex Male

Practice address 6525 France Ave S, Suite 200, Edina, MN, 55435

Phone (952) 927-6501

Fax (952) 653-1435

Enumeration date Mar 17, 2006

Last updated in NPPES Nov 10, 2015

Taxonomy & licenses

207ZP0102X Anatomic Pathology & Clinical Pathology Physician Allopathic & Osteopathic Physicians · License 40788 (MN) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
984811017049	Other	MN	PREFERRED ONE
HP31830	Other	MN	HEALTHPARTNERS
881029000	Medicaid	MN	-
220033481	Other	MN	RAILROAD MEDICARE
525S5PE	Other	MN	BLUE CROSS
11-00306	Other	MN	MEDICA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Randolph Peterson?

The National Provider Identifier (NPI) for Randolph Peterson is 1053380204, a Type 1 (individual) record in the CMS NPPES registry.

Where does Randolph Peterson practice?

The practice location on file with NPPES is in Edina, MN. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-11-10.