Active NPI
Michael N Peters, M.D.
- Gastroenterology Physician
- Annapolis, MD
National Provider Identifier
1184656167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- D27809
- Practice address
- 820 Bestgate Road
Suite 2a
Annapolis, MD 21401 - Phone
- (410) 224-2116
- Fax
- (410) 224-2118
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | D27809 | MD | Primary |
Addresses
Primary practice location
820 Bestgate Road
Suite 2a
Annapolis, MD 21401
Mailing address
820 Bestgate Road
Suite 2B
Annapolis, MD 21401
Phone (410) 224-2116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138041900 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Maryland Center for Digestive Health LLC | Current | Accepting new patients |
Locations
820 Bestgate Rd
Ste 2B
Annapolis, MD 21401
Phone (443) 837-0642
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320192000000",
"number": "1184656167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 BESTGATE ROAD",
"address_2": "SUITE 2B",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "21401",
"telephone_number": "410-224-2116",
"fax_number": "410-224-2118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 BESTGATE ROAD",
"address_2": "SUITE 2A",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "21401",
"telephone_number": "410-224-2116",
"fax_number": "410-224-2118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "MICHAEL",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2011-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MD",
"license": "D27809",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138041900",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.