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NPISignal

Individual Healthcare Provider

Jacob Edward Peterson, MD, MBA

NPI Record: ActiveInternal Medicine — Pulmonary Disease
NPI1295196384
Norwich, Connecticut

Provider's NPPES record last updated: August 4, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1295196384
Primary Specialty
Internal Medicine — Pulmonary Disease
Practice Location
Norwich, Connecticut
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 1:12 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Internal Medicine

    Pulmonary Disease

    Allopathic & Osteopathic Physicians

    Primary

    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.

    Taxonomy code 207RP1001X
  • General Practice

    Allopathic & Osteopathic Physicians

    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

    Taxonomy code 208D00000X
  • Hospitalist

    Allopathic & Osteopathic Physicians

    Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

    Taxonomy code 208M00000X
  • Internal Medicine

    Allopathic & Osteopathic Physicians

    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

    Taxonomy code 207R00000X
  • Student in an Organized Health Care Education/Training Program

    Student, Health Care

    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.

    Taxonomy code 390200000X

Provider-Reported License Information

Internal Medicine (Connecticut)
76208
General Practice (Virginia)
0101263068
Hospitalist (Virginia)
0101263068
Internal Medicine (Connecticut)
76208
Internal Medicine (Virginia)
0101263068
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

79 Wawecus St Ste 103

Norwich, Connecticut 06360-2173

Phone: (860) 886-1862

Additional Practice Location

600 Gresham Dr Fl 5

Norfolk, Virginia 23507-1904

Phone: (757) 388-3198

Additional Practice Location

20 York St

New Haven, Connecticut 06510-3220

Phone: (203) 688-4242

Record Information

Enumeration Date
March 16, 2016
Provider's NPPES Record Last Updated
August 4, 2026
Certification Date
August 4, 2026
NPISignal NPPES Dataset
August 2026

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