Individual provider Active NPI

Matthew Peter, DPM

  • Foot Surgery Podiatrist
  • Beverly, MA
National Provider Identifier
1477130896
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
2553 Issued in MA
Practice address
900 Cummings Ctr Ste 309V
Beverly, MA 01915-6181
Phone
(978) 922-0288
Fax
(978) 927-6265
NPI assigned
Mar 24, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 2553 MA Primary

Addresses

Primary practice location

900 Cummings Ctr Ste 309V
Beverly, MA 01915-6181

Mailing address

900 Cummings Ctr Ste 309V
Beverly, MA 01915-6181
Phone (978) 922-0288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240613003546 MA Practitioner - Podiatry 4183167521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beverly Podiatry Inc.Group PAC ID 4880990290, 3 clinicians

Practice addresses (Care Compare)

900 Cummings Ctr
Suite 309V
Beverly, MA 01915-6181
Phone (978) 922-0288

Hospital & facility affiliations

  • Northeast Hospital Corporation Hospital, Beverly, MA, CCN 220033
  • North Shore Medical Center - Hospital, Salem, MA, CCN 220035

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue154
Removal of skin lesions30
Removal of nail tissue272
Removal or shaving of skin growth96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beverly Podiatry Inc. Foot Surgery CurrentSince Jul 1, 2024 Accepting new patients
Beverly Podiatry, Inc CurrentSince Jul 1, 2024 Accepting new patients
North Shore Medical Center, Inc. Current Accepting new patients

Locations

900 Cummings Ctr
Ste 107T
Beverly, MA 01915
Phone (978) 922-0035

900 Cummings Ctr
Ste 309V
Beverly, MA 01915
Phone (978) 922-0288

Interoperability endpoints

  • Direct secure messaging: peter.matthew.nsmc@direct.partners.masshiway.net

Organizations & group practices 3

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 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": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1477130896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CUMMINGS CTR STE 309V",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156181",
            "telephone_number": "978-922-0288",
            "fax_number": "978-927-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CUMMINGS CTR STE 309V",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156181",
            "telephone_number": "978-922-0288",
            "fax_number": "978-927-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETER",
        "first_name": "MATTHEW",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-24",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MA",
            "license": "2553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.