Individual provider Active NPI

Angela Ruth Peterman, M.D.

  • Specialist
  • Annapolis, MD
National Provider Identifier
1306814264
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0029734 Issued in MD
Practice address
600 Ridgely Ave
Suite 123
Annapolis, MD 21401-1001
Phone
(410) 224-3614
Fax
(410) 224-5836
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0029734 MD Primary

Addresses

Primary practice location

600 Ridgely Ave
Suite 123
Annapolis, MD 21401-1001

Mailing address

600 Ridgely Ave
Suite 120
Annapolis, MD 21401-1001
Phone (410) 224-7795

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100128000591 MD Practitioner - Dermatology 9436245297 Reassigns benefits to 1 organization
I20160630001111 DC Practitioner - Dermatology 9436245297 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0029734MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Arundel Dermatology LLC Specialist CurrentSince Apr 7, 1993 Accepting new patients
Surgical & Cosmetic Dermatology, P. C. PastSince Oct 3, 2022 Accepting new patients
Lisa Renfro Surgery Center LLC PastSince Oct 17, 2020 Accepting new patients

Locations

180 Admiral Cochrane Dr
Ste 430
Annapolis, MD 21401
Phone (410) 263-5439

600 Ridgely Ave
Ste 120
Annapolis, MD 21401
Phone (410) 224-0070

600 Ridgely Ave
Ste 123
Annapolis, MD 21401
Phone (410) 224-3614

6410 Rockledge Dr
Ste 402
Bethesda, MD 20817
Phone (301) 530-4800

1185 Imperial Dr
Ste 201
Hagerstown, MD 21740
Phone (443) 351-8376

1306 Concourse Dr
Ste 201
Linthicum Heights, MD 21090

8028 Ritchie Hwy
Ste 106
Pasadena, MD 21122
Phone (410) 761-0118

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1306814264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 RIDGELY AVE",
            "address_2": "SUITE 120",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011001",
            "telephone_number": "410-224-7795",
            "fax_number": "410-224-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 RIDGELY AVE",
            "address_2": "SUITE 123",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011001",
            "telephone_number": "410-224-3614",
            "fax_number": "410-224-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERMAN",
        "first_name": "ANGELA",
        "middle_name": "RUTH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0029734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.