Organization Active NPI

Peter J Cuesta, DPM, PA

  • Foot Surgery Podiatrist
  • Ocean Pines, MD
National Provider Identifier
1124346044
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
Legal business name
PETER J CUESTA, DPM, PA
Practice address
11021 Nicholas LN
Suite 6
Ocean Pines, MD 21811-3243
Phone
(410) 208-4878
Fax
(410) 208-4877
NPI assigned
May 17, 2010
Organization subpart
Yes
Parent organization
PETER J CUESTA, DPM, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 17, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Peter J Cuesta, DPMNPI 1649242496
Title
President
Phone
(410) 208-4878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X Primary

Addresses

Primary practice location

11021 Nicholas LN
Suite 6
Ocean Pines, MD 21811-3243

Mailing address

11021 Nicholas LN
Suite 6
Ocean Pines, MD 21811-3243
Phone (410) 208-4878

Other identifiers 1

IdentifierTypeStateIssuer
400867700MedicaidMD

Other names 1

  • Eastern Shore Podiatry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930082630 MD DME Supplier - Physician - Podiatry 0345455713 Practice locations: Ocean Pines, MD
O20110912000117 MD Part B Supplier - Clinic/Group Practice 0345455713 Receives reassigned benefits from 1 practitioner
Practice locations: Ocean Pines, MD; Salisbury, MD

National Provider Directory

National Provider Directory
Part of
Peter J Cuesta DPM PA

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1124346044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11021 NICHOLAS LN",
            "address_2": "SUITE 6",
            "city": "OCEAN PINES",
            "state": "MD",
            "postal_code": "218113243",
            "telephone_number": "410-208-4878",
            "fax_number": "410-208-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11021 NICHOLAS LN",
            "address_2": "SUITE 6",
            "city": "OCEAN PINES",
            "state": "MD",
            "postal_code": "218113243",
            "telephone_number": "410-208-4878",
            "fax_number": "410-208-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER J CUESTA, DPM, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PETER J CUESTA, DPM, PA",
        "enumeration_date": "2010-05-17",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "CUESTA",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-208-4878",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400867700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern Shore Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocean Pines, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.