Peter Ian Smith, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D77462 Issued in MD

Practice address

6405 Dalston St
Baltimore, MD 21220-2046

Phone

(301) 346-0845

NPI assigned

Aug 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hospitalist Medicine Physicians of Maryland PC

  • Hospitalist Physician
  • Frederick, MD
  • NPI 1992945471

  DC, Family Medicine

  Medicare reassignment NPD
• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187
  Medicare reassignment NPD
• Shore-Bayy Hospitalists Associates

  • Hospitalist Physician
  • Easton, MD
  • NPI 1548618671
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Maryland PC

  • Internal Medicine Physician
  • Frederick, MD
  • NPI 1366240111

  Family Medicine

  NPD
• Medstar Medical Group II LLC

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1376887844
  NPD
• Caton Emergency Physicians

  • Emergency Medicine Physician
  • Baltimore, MD
  • NPI 1003829953
  NPD (past)
• Maryland Provo-I Medical Services, PC

  • Emergency Medicine Physician
  • Baltimore, MD
  • NPI 1013002096
  NPD (past)
• Shore Hospitalists Associates P.a.

  • Internal Medicine Physician
  • Easton, MD
  • NPI 1508983362
  NPD (past)

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1174715239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 FRANKLIN SQUARE DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21237",
            "telephone_number": "443-777-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 DALSTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212202046",
            "telephone_number": "301-346-0845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9000 Franklin Square Dr",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21237",
            "country_code": "US",
            "telephone_number": "443-777-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PETER",
        "middle_name": "IAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-13",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MD",
            "license": "D77462",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D77462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nurah Smith
• Odell Artto Smith Jr., OPTICIAN
• Owen Woodfield Smith, RN
• Patricia Ann Smith, LCSW-C
• Paulette S Smith, LCSW-C
• Peter Joseph Smith, PHD LCSW C
• Peter M Smith, PSYD
• Philip Smith, M.D.
• Rachel Rene Smith, LCSW-C
• Rachelle Ann Smith, MD

• Internal Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.