JACOB E. PETERSON MD, MBA – NPI #1295196384
Internal Medicine

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Health Care Provider Taxonomy Code for Internal Medicine

JACOB PETERSON is a physician located in NORWICH, CT. NPPES has assigned the NPI number 1295196384 to JACOB PETERSON on March 16, 2016. It is a Type-1 NPI, indicating this NPI number is associated with an individual. He is also known by his other name JACOB EDWARD PETERSON. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RP1001X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Pulmonary Disease Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Feb 12, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACOB PETERSON below.

NPI Profile for
JACOB E. PETERSON

NPI Number
1295196384
Enumeration Date

(more than 10 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JACOB E. PETERSON
Other Name: JACOB EDWARD PETERSON
Credentials
MD, MBA
Primary location
79 WAWECUS ST STE 103
NORWICH, CT 06360-2173
Phone: (860) 886-1862 Fax: (860) 886-2046
2 Other location(s):
20 York St
New Haven, CT 06510-3220
Phone: (203) 688-4242
600 Gresham Dr Fl 5
Norfolk, VA 23507-1904
Phone: (757) 388-3198
Mailing address
20 YORK ST
NEW HAVEN, CT 06510-3220
Phone: (203) 688-4242 Fax:
Sole Proprietor
No
Updated
Certification Date
Feb 12, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RP1001X
- Internal Medicine / Pulmonary Disease (Primary)		 CT 76208
390200000X
- Student in an Organized Health Care Education/Training Program
208M00000X
- Hospitalist		 VA 0101263068
208D00000X
- General Practice		 VA 0101263068
207R00000X
- Internal Medicine		 VA 0101263068

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JACOB PETERSON is affiliated with the following medical group(s):
  • HOSPITAL
    • SENTARA LEIGH HOSPITAL
      830 KEMPSVILLE ROAD
      NORFOLK, VA 23502
    • SENTARA VIRGINIA BEACH GENERAL HOSPITAL
      1060 FIRST COLONIAL ROAD
      VIRGINIA BEACH, VA 23454

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.