Active NPI
Peter Z. McIntyre, MD
- Endocrinology, Diabetes & Metabolism Physician
- Portsmouth, VA
National Provider Identifier
1205096930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 0101246064
- Practice address
- 620 John Paul Jones Circle, Building 2, 2ND Deck
Endocrine & Diabetes Clinic, Naval Medical Center Ports
Portsmouth, VA 23708 - Phone
- (757) 953-2116
- NPI assigned
- Jun 16, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101246064 | VA | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 0101246064 | VA | Primary |
Addresses
Primary practice location
620 John Paul Jones Circle, Building 2, 2ND Deck
Endocrine & Diabetes Clinic, Naval Medical Center Ports
Portsmouth, VA 23708
Mailing address
620 John Paul Jones Circle, Building 2, 2ND Deck
Endocrine & Diabetes Clinic, Naval Medical Center Ports
Portsmouth, VA 23708
Phone (757) 953-2116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101246064 | VA | MD | Endocrinology, Diabetes & Metabolism Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718323200000",
"number": "1205096930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 JOHN PAUL JONES CIRCLE, BUILDING 2, 2ND DECK",
"address_2": "ENDOCRINE & DIABETES CLINIC, NAVAL MEDICAL CENTER PORTS",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "23708",
"telephone_number": "757-953-2116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 JOHN PAUL JONES CIRCLE, BUILDING 2, 2ND DECK",
"address_2": "ENDOCRINE & DIABETES CLINIC, NAVAL MEDICAL CENTER PORTS",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "23708",
"telephone_number": "757-953-2116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTYRE",
"first_name": "PETER",
"middle_name": "Z.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-16",
"last_updated": "2024-06-14",
"certification_date": "2024-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101246064",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "VA",
"license": "0101246064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.