Individual provider Active NPI

Lennie Michele Peters, D.P.M.

  • Podiatrist
  • Washington, DC
National Provider Identifier
1336375922
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
71475 Issued in MD
Practice address
1008 Hamlin St NE
Washington, DC 20017-3422
Phone
(202) 270-0388
Fax
(202) 270-0388
NPI assigned
Jun 9, 2009
Last updated
Feb 10, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 71475 MD Primary
Podiatrist 213E00000X N006301-1 NY

Addresses

Primary practice location

1008 Hamlin St NE
Washington, DC 20017-3422

Mailing address

1008 Hamlin St NE
Washington, DC 20017-3422
Phone (202) 270-0388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, SC, VA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20090925000222 DC Practitioner - Podiatry 7012063423 Reassigns benefits to 2 organizations
I20091020000411 MD Practitioner - Podiatry 7012063423 Reassigns benefits to 1 organization
I20201123001233 SC Practitioner - Podiatry 7012063423
I20210105003179 VA Practitioner - Podiatry 7012063423

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Podiatry PLLCGroup PAC ID 1951448711, 8 clinicians

Practice addresses (Care Compare)

12475 Route 50
Fairfax, VA 22033-2803
Phone (718) 972-5000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue363
Removal or shaving of skin growth55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71475MDMDPodiatrist
N006301-1NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Management Services, LLC Past Accepting new patients
Eastern Podiatry PLLC Podiatrist Past Accepting new patients
Professional Management Services, LLC Podiatrist Past Accepting new patients
Maryland Cardiology Associates, LLC Past Accepting new patients

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1336375922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 HAMLIN ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200173422",
            "telephone_number": "202-270-0388",
            "fax_number": "202-270-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 HAMLIN ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200173422",
            "telephone_number": "202-270-0388",
            "fax_number": "202-270-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "LENNIE",
        "middle_name": "MICHELE",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "71475",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N006301-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.