Active NPI
Robin Wynne Peck, MD
- Specialist
- Washington, DC
National Provider Identifier
1346343811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD31139
- Practice address
- 50 Irving St NW
Washington, DC 20422-0001 - Phone
- (202) 745-8685
- Fax
- (202) 561-8776
- NPI assigned
- Sep 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD31139 | DC | Primary |
Addresses
Primary practice location
50 Irving St NW
Washington, DC 20422-0001
Mailing address
3832 Garfield St NW
Washington, DC 20007-1383
Phone (202) 745-8685
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141015001983 | DC | Order and Referring Only - Internal Medicine | 5597986570 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- robin.peckmd.p2@direct.msmg.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346343811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3832 GARFIELD ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200071383",
"telephone_number": "202-745-8685",
"fax_number": "202-561-8776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 IRVING ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "204220001",
"telephone_number": "202-745-8685",
"fax_number": "202-561-8776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PECK",
"first_name": "ROBIN",
"middle_name": "WYNNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "DC",
"license": "MD31139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.