Individual provider Active NPI

Peter Shelton Trent, MD

  • Orthopaedic Surgery Physician
  • La Plata, MD
National Provider Identifier
1871598110
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
D0046821 Issued in MD
Practice address
16 N la Plata CT
La Plata, MD 20646-4283
Phone
(301) 392-3330
Fax
(301) 392-3950
NPI assigned
Jun 14, 2005
Last updated
Nov 7, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X D0046821 MD Primary
Orthopaedic Surgery Physician 207X00000X MD21013 DC
Orthopaedic Surgery Physician 207X00000X 0101051792 VA

Addresses

Primary practice location

16 N la Plata CT
La Plata, MD 20646-4283

Mailing address

PO Box 2188
La Plata, MD 20646-2188
Phone (301) 392-3330

Other identifiers 3

IdentifierTypeStateIssuer
021729300MedicaidDC
147871100MedicaidMD
6402143MedicaidVA

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
I20131018001242 MD Practitioner - Orthopedic Surgery 2860531480 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0046821MDMDOrthopaedic Surgery Physician
0101051792VAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Orthopedics and Sports Medicine CurrentSince May 1, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Washington Orthopaedic Center Orthopaedic Surgery Past Accepting new patients

Locations

8115 Maple Lawn Blvd
Ste 220
Fulton, MD 20759
Phone (301) 298-5334

16 N La Plata Ct
La Plata, MD 20646
Phone (301) 392-3330

14201 Park Center Dr
Ste 410
Laurel, MD 20707
Phone (301) 298-5334

12090 Old Line Ctr
Ste R10A
Waldorf, MD 20602
Phone (301) 498-0333

Interoperability endpoints

  • Direct secure messaging: ptrent548152@direct.umm.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1871598110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2188",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206462188",
            "telephone_number": "301-392-3330",
            "fax_number": "301-392-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 N LA PLATA CT",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206464283",
            "telephone_number": "301-392-3330",
            "fax_number": "301-392-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRENT",
        "first_name": "PETER",
        "middle_name": "SHELTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D0046821",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "DC",
            "license": "MD21013",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101051792",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021729300",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147871100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6402143",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Plata, MD

Sources for this page

Verify at the official NPI Registry.