Active NPI
James Peter Prevas, M.D.
- Emergency Medicine Physician
- Annapolis, MD
National Provider Identifier
1891015020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- D75173
- Practice address
- 2001 Medical Parkway
Annapolis, MD 21401-3280 - Phone
- (443) 481-1366
- Fax
- (443) 481-1370
- NPI assigned
- Jun 10, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | D75173 | MD | Primary |
Addresses
Primary practice location
2001 Medical Parkway
Annapolis, MD 21401-3280
Mailing address
PO Box 62239
Baltimore, MD 21264-2239
Phone (410) 931-0400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 332703500 | Medicaid | MD |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D75173 | MD | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Emergency Service, PA | Emergency Medicine | Current | Accepting new patients |
Locations
2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Annapolis, MD
- NPI 1528171840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524787200000",
"number": "1891015020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 62239",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212642239",
"telephone_number": "410-931-0400",
"fax_number": "410-931-1009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 MEDICAL PARKWAY",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013280",
"telephone_number": "443-481-1366",
"fax_number": "443-481-1370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREVAS",
"first_name": "JAMES",
"middle_name": "PETER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-10",
"last_updated": "2018-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "D75173",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "332703500",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.