Peter Wawrzusin, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

D0095615 Issued in MD

Practice address

2045 University Blvd E Ste 100
Hyattsville, MD 20783-4153

Phone

(301) 431-0431

NPI assigned

Mar 23, 2017

Last updated

Oct 6, 2023By the provider in NPPES

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 NY, NJ, DC3 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 3

Specialty

Ophthalmology

Education

Georgetown University School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saman F Ghahremani MD PCGroup PAC ID 6002863073, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Saman F Ghahremani MD PC

  dba Maryland Eye Care Center

  • Ophthalmology Physician
  • Hyattsville, MD
  • NPI 1245427756

  DC

  Medicare reassignment Care Compare group NPD
• Ophthalmic Consultants of Long Island

  • Ophthalmology Physician
  • Rockville Centre, NY
  • NPI 1285675660
  Medicare reassignment NPD
• New Jersey Eye Center, P.a.

  • Optometrist
  • Bergenfield, NJ
  • NPI 1235155615
  Medicare reassignment

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1235660051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 TEMPLETON PL",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521424",
            "telephone_number": "240-727-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 UNIVERSITY BLVD E STE 100",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207834153",
            "telephone_number": "301-431-0431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8630 Fenton St",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209103806",
            "country_code": "US",
            "telephone_number": "301-430-0431",
            "fax_number": "304-431-0470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAWRZUSIN",
        "first_name": "PETER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-23",
        "last_updated": "2023-10-06",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA11117200",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0095615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph David Wantz
• Heather Warnick, LPC
• Washington Hospital Center
• Donte Washington
• Marquance Latoya Watson
• Julie Ann Weaver
• Kristal Weems-Bradner, OTR/L
• Vanessa Welague-Pamela
• Wellness Source LLC (Your Wellness Sources)
• Wellness Source LLC (Your Wellness Sources)

• Ophthalmology Physician in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Ophthalmology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.