Active NPI
Salem Petros
- Military Hospital
- Beltsville, MD
National Provider Identifier
1205295193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Hospital
- License
- R130643
- Practice address
- 12206 Castle Pines Dr
Beltsville, MD 20705-1146 - Phone
- (240) 432-7938
- NPI assigned
- Feb 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Military Hospital | 286500000X | R130643 | MD | Primary |
Addresses
Primary practice location
12206 Castle Pines Dr
Beltsville, MD 20705-1146
Mailing address
12206 Castle Pines Dr
Beltsville, MD 20705-1146
Phone (240) 432-7938
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R130643 | MD | MD | Military Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455840000000",
"number": "1205295193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12206 CASTLE PINES DR",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207051146",
"telephone_number": "240-432-7938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12206 CASTLE PINES DR",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207051146",
"telephone_number": "240-432-7938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETROS",
"first_name": "SALEM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-19",
"last_updated": "2016-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "286500000X",
"taxonomy_group": "",
"desc": "Military Hospital",
"state": "MD",
"license": "R130643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beltsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.