Individual provider Active NPI

Peter Azarcon Reyes, M.D.

  • Cardiovascular Disease Physician
  • Baltimore, MD
National Provider Identifier
1508898370
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D64744 Issued in MD
Practice address
22 S Greene St
Baltimore, MD 21201-1544
Phone
(410) 328-5793
Fax
(410) 328-0248
NPI assigned
Jul 6, 2006
Last updated
Jan 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D64744 MD Primary
Interventional Cardiology Physician 207RI0011X D64744 MD

Addresses

Primary practice location

22 S Greene St
Baltimore, MD 21201-1544

Mailing address

PO Box 64442
Baltimore, MD 21264-4442
Phone (410) 328-5793

Other identifiers 2

IdentifierTypeStateIssuer
888538-01OtherMDBLUE CROSS/BLUE SHIELD
S062-0289OtherMDBLUE CHOICE

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
I20061201000095 MD Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3779496229 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Maryland School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Annapolis Heart LLCGroup PAC ID 4789055062, 4 clinicians
St Paul Place Specialists, Inc.Group PAC ID 7719882943, 332 clinicians

Practice addresses (Care Compare)

129 Lubrano Dr
Suite 301
Annapolis, MD 21401-7568
Phone (443) 607-2299

301 Saint Paul St
Baltimore, MD 21202-2102

7602 Belair Rd
Baltimore, MD 21236-4088
Phone (410) 663-8100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.13 of 100Reported as group
Quality
56.5
Promoting interoperability
100
Improvement activities
40
Cost
73.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D64744MDMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Physicians PA Cardiovascular Disease Current Accepting new patients
Annapolis Heart LLC Cardiovascular Disease CurrentSince Dec 15, 2025 Accepting new patients
St Paul Place Specialists Inc CurrentSince Sep 4, 2018 Accepting new patients
University of Maryland Physicians P.a. CurrentSince Jul 1, 2006 Accepting new patients
University of Maryland Physicians P.a. Cardiovascular Disease CurrentSince Jul 1, 2006 Accepting new patients
University of Maryland Physicians P.a. Current Accepting new patients
St Paul Place Specialists, Inc. Cardiovascular Disease CurrentSince Sep 4, 2018 Accepting new patients
St. Paul Place Specialists, Inc. Current Accepting new patients
Saint Paul Place Specialists, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Midatlantic Cardiovascular Associates PA Cardiovascular Disease Past Accepting new patients

Locations

128 Lubrano Dr
Ste 301
Annapolis, MD 21401
Phone (443) 607-2299

129 Lubrano Dr
Ste 301
Annapolis, MD 21401
Phone (410) 224-2626

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

419 W Redwood St
Baltimore, MD 21201
Phone (410) 328-5196

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

Interoperability endpoints

  • Direct secure messaging: peter.reyes.1@29927.direct.athenahealth.com
  • Direct secure messaging: preyes54239@direct.mdmercy.com

Organizations & group practices 11

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1508898370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64442",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644442",
            "telephone_number": "410-328-5793",
            "fax_number": "410-328-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-5793",
            "fax_number": "410-328-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "PETER",
        "middle_name": "AZARCON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D64744",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MD",
            "license": "D64744",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "888538-01",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "S062-0289",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.