Organization Active NPI

Peter M. Schissler MD P.a.

  • Geriatric Medicine (Internal Medicine) Physician
  • Greenbelt, MD
National Provider Identifier
1336258383
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
PETER M. SCHISSLER MD P.A.
Practice address
7500 Greenway Center Dr
Ste 430
Greenbelt, MD 20770-3502
Phone
(301) 345-5857
Fax
(301) 474-5621
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Authorized official

Name
Peter Martin Schissler, M.D.NPI 1831135243
Title
President
Phone
(301) 345-5857

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

7500 Greenway Center Dr
Ste 430
Greenbelt, MD 20770-3502

Mailing address

7500 Greenway Center Dr
Ste 430
Greenbelt, MD 20770-3502
Phone (301) 345-5857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110218000569 DC Part B Supplier - Clinic/Group Practice 0446377568 Receives reassigned benefits from 1 practitioner
Practice locations: Greenbelt, MD

National Provider Directory

National Provider Directory

Locations

7500 Greenway Center Dr
Ste 430
Greenbelt, MD 20770
Phone (301) 345-5857

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1336258383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 GREENWAY CENTER DR",
            "address_2": "STE 430",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703502",
            "telephone_number": "301-345-5857",
            "fax_number": "301-474-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 GREENWAY CENTER DR",
            "address_2": "STE 430",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703502",
            "telephone_number": "301-345-5857",
            "fax_number": "301-474-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER M. SCHISSLER MD P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "SCHISSLER",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-345-5857",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.