Individual provider Active NPI

Peter E Loeb, MD

  • Orthopaedic Surgery Physician
  • Tallahassee, FL
National Provider Identifier
1306848445
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME0059656 Issued in FL
Practice address
1911 Miccosukee Rd
Tallahassee, FL 32308-5321
Phone
(850) 878-2549
Fax
(850) 431-6341
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME0059656 FL Primary

Addresses

Primary practice location

1911 Miccosukee Rd
Tallahassee, FL 32308-5321

Mailing address

1911 Miccosukee Rd
Tallahassee, FL 32308-5321
Phone (850) 878-2549

Other identifiers 1

IdentifierTypeStateIssuer
0059656MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20101026000507 FL Practitioner - Orthopedic Surgery 6608801923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Johns Hopkins University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
N Fla Sports Medicine and Orthopaedic Center PAGroup PAC ID 8729013040, 5 clinicians

Practice addresses (Care Compare)

1911 Miccosukee Rd
Tallahassee, FL 32308-5321
Phone (850) 878-2549

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Tallahassee, FL, CCN 107151
  • Enhabit Home Health Home health agency, Blountstown, FL, CCN 109153
  • Tallahassee Memorial Home Health Care Home health agency, Tallahassee, FL, CCN 107115
  • Tallahassee Memorial Healthcare Hospital, Tallahassee, FL, CCN 100135

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0059656FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
N Fla Sports Medicine and Orthopaedic Center PA Orthopaedic Surgery CurrentSince Dec 17, 1996 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

1911 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 877-8539

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241654400000",
    "number": "1306848445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 MICCOSUKEE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085321",
            "telephone_number": "850-878-2549",
            "fax_number": "850-431-6341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 MICCOSUKEE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085321",
            "telephone_number": "850-878-2549",
            "fax_number": "850-431-6341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEB",
        "first_name": "PETER",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2009-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME0059656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0059656",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.