Antonique Peterson, DO
General Practice Physician · Minneapolis, MN
Antonique Peterson, DO is a general practice physician with a practice address in Minneapolis, Minnesota, and NPI 1700377124, issued on May 21, 2018. Check the license (Minnesota 69440, as entered in NPPES) on the Minnesota Board of Medical Practice; the Medicare figures below come from public CMS files.
- Name
- Antonique Peterson
- Credential
- DO
- Primary taxonomy
- General Practice Physician 208D00000X
- License number
- 69440 MN
Self-reported in NPPES; status is on the state search - Practice location
- 1313 Penn Ave N, Minneapolis, MN 55411
- Phone
- (612) 543-2500
- Enumerated
- May 21, 2018
- Record last updated
- Oct 27, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicaid ID
- 416005801 MN
- Medicare enrollment
- Enrolled (PECOS I20260520004031); accepts Medicare assignment
- Medical or professional school
- Arizona College Of Osteopathic Medicine Mid Western University, 2018
- Entity
- Type 1 · individual
8 nearest general practice physician records → All 79 in Minnesota → Look up another NPI →
Also registered at 1313 Penn Ave N
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Oluyomi Alowooja, LPCCMental Health Counselor1063181212
- Erin Anderson, MDFamily Medicine Physician1790341295
- Rochelle Avent-Hassan, DDSDentist1699739656
Verify Antonique Peterson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMinnesota Board of Medical Practice
Search for license 69440Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Emory Physicians Group, LLCMarietta, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Antonique Peterson among 79 general practice physician records in Minnesota
Antonique Peterson, DO is one of 79 general practice physician records with a practice address in Minnesota. 34% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2018, is newer than 71% of them.
- NPI issued2018 · 71% of these records are older, 22% newer
- In a Medicare fileYes · 34% of these records are
- In the CMS Doctors and Clinicians fileYes · 18% of these records are
- Graduated2018 · median 2010 among the 14 with a school on file
- Record last updated2021 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208D00000X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
General Practice Physician providers in Minnesota
There are 79 general practice physician records in Minnesota.
All 79 in Minnesota → Every provider in Minneapolis → General Practice Physician nationwide →
The 8 general practice physician records with the nearest ZIP codes
- Loretta Akpala, MDMinneapolis, MN 554111720721525
- Mohammed AkhterMinneapolis, MN 554081801479688
- Sunhie Lee, MDMinneapolis, MN 554081235396037
- Andrej Szabad, M.D.Minneapolis, MN 554141235469594
- Marta Tochacek, M.D.Minneapolis, MN 554081992776900
- Samantha Pullen, M.D.Minneapolis, MN 554071609017714
- Peter Weissmann, MDMinneapolis, MN 554151679515712
- Roble Aden, MD, MPHMinneapolis, MN 554061629902853
Common questions
What is Antonique Peterson, DO's NPI number?
Antonique Peterson, DO's National Provider Identifier (NPI) is 1700377124, issued on May 21, 2018. An NPI identifies a provider in billing; it is not a license.
Where is Antonique Peterson, DO located?
The NPPES record lists a practice address at 1313 Penn Ave N, Minneapolis, MN, 55411. Phone: (612) 543-2500. Providers update this record themselves, so call before visiting.
How can I verify Antonique Peterson, DO's license?
NPPES lists Minnesota license number 69440, as entered by the provider. Search the Minnesota Board of Medical Practice at https://mn.gov/boards/medical-practice/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.