Individual provider Active NPI

Paul Loeser, MD

  • Internal Medicine Physician
  • Hyattsville, MD
National Provider Identifier
1902301583
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0092053 Issued in MD
Practice address
2970 Belcrest Center Dr # 301
Hyattsville, MD 20782-1987
Phone
(240) 714-5247
Fax
(202) 319-3414
NPI assigned
Mar 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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 D0092053 MD Primary

Addresses

Primary practice location

2970 Belcrest Center Dr # 301
Hyattsville, MD 20782-1987

Mailing address

2970 Belcrest Center Dr # 301
Hyattsville, MD 20782-1987
Phone (410) 790-4415

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
I20221013000941 DC Practitioner - Internal Medicine 1456600071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Vanderbilt University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Clinica del Pueblo IncGroup PAC ID 3971490558, 18 clinicians

Practice addresses (Care Compare)

2970 Belcrest Ctr Dr
Unit 301
Hyattsville, MD 20782-1987
Phone (240) 582-8828

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0092053MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
La Clinica del Pueblo, Inc. CurrentSince Sep 11, 2022 Accepting new patients
La Clinica del Pueblo, Inc CurrentSince Aug 16, 2022 Accepting new patients

Locations

2831 15th St NW
Washington, DC 20009
Phone (202) 462-4788

2970 Belcrest Center Dr
#301
Hyattsville, MD 20782
Phone (240) 714-5247

2970 Belcrest Center Dr
Fl 4
Hyattsville, MD 20782

2970 Belcrest Center Dr
Ste 301
Hyattsville, MD 20782
Phone (202) 448-2845

Interoperability endpoints

  • Direct secure messaging: paul.loeser@lcdp.eclinicaldirectplus.com

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": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1902301583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 BELCREST CENTER DR # 301",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207821987",
            "telephone_number": "410-790-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 BELCREST CENTER DR # 301",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207821987",
            "telephone_number": "240-714-5247",
            "fax_number": "202-319-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOESER",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-27",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0092053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

Verify at the official NPI Registry.