Individual provider Active NPI

Michael E Peimer, M.D.

  • Internal Medicine Physician
  • Chestertown, MD
National Provider Identifier
1306840939
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0060301 Issued in MD
Practice address
122 Speer Rd
Ste 5
Chestertown, MD 21620-1033
Phone
(410) 778-0200
Fax
(410) 778-6647
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0060301 MD Primary

Addresses

Primary practice location

122 Speer Rd
Ste 5
Chestertown, MD 21620-1033

Mailing address

122 Speer Rd
Ste 5
Chestertown, MD 21620-1033
Phone (410) 778-0200

Other identifiers 1

IdentifierTypeStateIssuer
402748500MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050812000558 MD Practitioner - Internal Medicine 8820085533

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0060301MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Associates LLC Internal Medicine CurrentSince Jan 1, 2004 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

122 Speer Rd
Ste 5
Chestertown, MD 21620
Phone (410) 778-0200

Interoperability endpoints

  • Direct secure messaging: mpeimer483425@direct.umm.edu

Organizations & group practices 2

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263340800000",
    "number": "1306840939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 SPEER RD",
            "address_2": "STE 5",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201033",
            "telephone_number": "410-778-0200",
            "fax_number": "410-778-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 SPEER RD",
            "address_2": "STE 5",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201033",
            "telephone_number": "410-778-0200",
            "fax_number": "410-778-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEIMER",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2010-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0060301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402748500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestertown, MD

Sources for this page

Verify at the official NPI Registry.