Individual provider Active NPI

Peter J Lopresti, D.O.

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1710982343
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H39022 Issued in MD
Practice address
300 E Madison St
Baltimore, MD 21202-4260
Phone
(410) 615-0124
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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 H39022 MD Primary

Addresses

Primary practice location

300 E Madison St
Baltimore, MD 21202-4260

Mailing address

215 Olde Beau CT
Churchville, MD 21028-1235
Phone (410) 615-0124

Other identifiers 1

IdentifierTypeStateIssuer
67401000MedicaidMD

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
I20050406001083 MD Practitioner - Internal Medicine 1658328158 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harford Primary Care LLC CurrentSince Oct 1, 1998 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3401 Box Hill Corporate Center Dr
Abingdon, MD 21009
Phone (410) 652-4598

3401 Box Hill Corporate Center Dr
Ste 100
Abingdon, MD 21009
Phone (410) 671-0017

615 W Macphail Rd
Ste 106
Bel Air, MD 21014
Phone (410) 638-8900

2 North Ave
Ste 101
Bel Air, MD 21014
Phone (410) 296-1661

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1710982343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 OLDE BEAU CT",
            "city": "CHURCHVILLE",
            "state": "MD",
            "postal_code": "210281235",
            "telephone_number": "410-615-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E MADISON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024260",
            "telephone_number": "410-615-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPRESTI",
        "first_name": "PETER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "H39022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "67401000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.