Individual provider Active NPI

Kristen Miller Peichert, MD

  • Internal Medicine Physician
  • Glen Burnie, MD
National Provider Identifier
1710144720
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0073057 Issued in MD
Practice address
7671 Quarterfield Rd
Suite 401
Glen Burnie, MD 21061-4998
Phone
(443) 270-6760
NPI assigned
May 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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 D0073057 MD Primary

Addresses

Primary practice location

7671 Quarterfield Rd
Suite 401
Glen Burnie, MD 21061-4998

Mailing address

3100 Wyman Park Dr
Baltimore, MD 21211-2803

Other names 1

  • Miss Kristen Leigh Miller Former name

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
I20120409000219 MD Practitioner - Internal Medicine 1850552472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
George Washington University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Johns Hopkins Community Physicians, IncGroup PAC ID 8325943707, 764 clinicians

Practice addresses (Care Compare)

1000 E Eager St
E Baltimore Med Ctr
Baltimore, MD 21202-5533
Phone (410) 522-9800

7671 Quarterfield Rd
Suite 401
Glen Burnie, MD 21061-4981
Phone (443) 270-6760

Hospital & facility affiliations

  • Amedisys Home Health of Maryland Home health agency, Glen Burnie, MD, CCN 217108
  • Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009
  • University of MD Baltimore Washington Medical Center Hospital, Glen Burnie, MD, CCN 210043
  • Johns Hopkins Bayview Medical Center Hospital, Baltimore, MD, CCN 210029

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0073057MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians, Inc Internal Medicine CurrentSince Feb 25, 2012 Accepting new patients
Johns Hopkins Community Physicians Internal Medicine CurrentSince Feb 25, 2012 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3100 Wyman Park Dr
Baltimore, MD 21211
Phone (410) 338-3000

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

7671 Quarterfield Rd
Ste 401
Glen Burnie, MD 21061
Phone (443) 270-6760

9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412

Interoperability endpoints

  • Direct secure messaging: kpeichert6885@direct.hopkinsmedicine.org

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": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1710144720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 WYMAN PARK DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7671 QUARTERFIELD RD",
            "address_2": "SUITE 401",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614998",
            "telephone_number": "443-270-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEICHERT",
        "first_name": "KRISTEN",
        "middle_name": "MILLER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0073057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "MILLER",
            "middle_name": "LEIGH",
            "prefix": "MISS",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.