Individual provider Active NPI

Matthew Eugene Peters, M.D.

  • Psychiatry Physician
  • Salisbury, MD
National Provider Identifier
1366731119
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0075185 Issued in MD
Practice address
100 E Carroll St
Salisbury, MD 21801-5422
Phone
(410) 546-6400
NPI assigned
Apr 1, 2011
Last updated
Jan 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD456705 PA
Psychiatry Physician 2084P0800X D0075185 MD Primary

Addresses

Primary practice location

100 E Carroll St
Salisbury, MD 21801-5422

Mailing address

100 E Carroll St
Salisbury, MD 21801-5422
Phone (410) 546-6400

Other practice location 1

600 N. Wolfe St.
Meyer 1-104
Baltimore, MD 21287-0001
Phone (410) 955-6114

Other practice location 2

206 E Brown St
East Stroudsburg, PA 18301-3006
Phone (570) 421-4000

Other practice location 3

2570 Haymaker Rd
Monroeville, PA 15146-3513
Phone (412) 858-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mpeters251424@direct.ahn.org

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
I20150716002214 MD Practitioner - Psychiatry 3870742836 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Johns Hopkins University School of Medicine, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Johns Hopkins UniversityGroup PAC ID 8921903147, 2,886 clinicians

Practice addresses (Care Compare)

400 W 7TH St
Frederick, MD 21701-4506
Phone (240) 215-6310

4940 Eastern Ave
Baltimore, MD 21224-2735
Phone (410) 550-0100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0075185MDMDPsychiatry Physician
MD456705PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Frederick Health Medical Group LLC CurrentSince Apr 18, 2022 Accepting new patients
Johns Hopkins University CurrentSince Jul 1, 2015 Accepting new patients
Frederick Health Medical Group LLC CurrentSince Apr 18, 2022 Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Sep 17, 2021 Accepting new patients
Johns Hopkins University Psychiatry CurrentSince Jul 1, 2015 Accepting new patients
Johns Hopkins University Current Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1800 Orleans St
#131
Baltimore, MD 21287

4940 Eastern Ave
Baltimore, MD 21224

600 N Wolfe St
#1104
Baltimore, MD 21287
Phone (410) 955-6114

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

10755 Falls Rd
Timonium, MD 21093
Phone (410) 583-2727

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

Interoperability endpoints

  • Direct secure messaging: mpeters251424@direct.ahn.org
  • Direct secure messaging: mpeters35705@direct.hopkinsmedicine.org

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1366731119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015422",
            "telephone_number": "410-546-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015422",
            "telephone_number": "410-546-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 N. Wolfe St.",
            "address_2": "Meyer 1-104",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212870001",
            "country_code": "US",
            "telephone_number": "410-955-6114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 E Brown St",
            "address_purpose": "LOCATION",
            "city": "East Stroudsburg",
            "state": "PA",
            "postal_code": "183013006",
            "country_code": "US",
            "telephone_number": "570-421-4000",
            "fax_number": "570-476-3346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2570 Haymaker Rd",
            "address_purpose": "LOCATION",
            "city": "Monroeville",
            "state": "PA",
            "postal_code": "151463513",
            "country_code": "US",
            "telephone_number": "412-858-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "MATTHEW",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-01",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD456705",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0075185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpeters251424@direct.ahn.org",
            "affiliation": "N",
            "address_1": "2570 Haymaker Rd",
            "city": "Monroeville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151463513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.