Individual provider Active NPI

Peter Anthony Swaby, D.O

  • Internal Medicine Physician
  • Bowie, MD
National Provider Identifier
1508972266
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H0052843 Issued in MD
Practice address
4000 Mitchellville Rd
Suite B422
Bowie, MD 20716-3104
Phone
(301) 809-6206
Fax
(301) 809-6225
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X H0052843 MD Primary

Addresses

Primary practice location

4000 Mitchellville Rd
Suite B422
Bowie, MD 20716-3104

Mailing address

3038 Mitchellville Rd
Ste 104
Bowie, MD 20716-1383
Phone (301) 809-6206

Other identifiers 1

IdentifierTypeStateIssuer
698302200MedicaidMD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120726000110 DC Practitioner - Internal Medicine 2961668546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3038 Mitchellville Rd
Suite 104
Bowie, MD 20716-1383
Phone (301) 809-6206

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.71 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.69

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peter a Swaby DO LLC Internal Medicine CurrentSince May 6, 2012 Accepting new patients
Potomac Physicians PA Internal Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3038 Mitchellville Rd
Ste 104
Bowie, MD 20716
Phone (301) 809-6206

4000 Mitchellville Rd
Ste B422
Bowie, MD 20716
Phone (301) 809-6206

4000 Mitchellville Rd
Bowie, MD 20716
Phone (301) 262-9872

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 5

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1508972266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3038 MITCHELLVILLE RD",
            "address_2": "STE 104",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161383",
            "telephone_number": "301-809-6206",
            "fax_number": "301-809-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MITCHELLVILLE RD",
            "address_2": "SUITE B422",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163104",
            "telephone_number": "301-809-6206",
            "fax_number": "301-809-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWABY",
        "first_name": "PETER",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "H0052843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "698302200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.