Individual provider Active NPI

Peter E Lavine, M.D.

  • Orthopaedic Surgery Physician
  • Washington, DC
National Provider Identifier
1902994239
Registry record updated Jun 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD18740 Issued in DC
Practice address
1145 19TH St NW Ste 710
Washington, DC 20036-3713
Phone
(202) 223-8600
Fax
(202) 828-9376
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2020

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 D40787 MD
Orthopaedic Surgery Physician 207X00000X 0101046643 VA
Orthopaedic Surgery Physician 207X00000X MD18740 DC Primary

Addresses

Primary practice location

1145 19TH St NW Ste 710
Washington, DC 20036-3713

Mailing address

1145 19TH St NW Ste 710
Washington, DC 20036-3713
Phone (202) 223-8600

Other practice location 1

2501 Parkers Ln
Alexandria, VA 22306-3209
Phone (703) 799-3889

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address peter.lavine.1@4697.direct.athenahealth.com
Direct Messaging Address peter.lavine.1@4697.direct.athenahealth.com

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
I20120215000573 DC Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 0648223511 Reassigns benefits to 1 organization
Practice locations: Washington, DC; Alexandria, VA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD18740DCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery CurrentSince Nov 1, 2013 Accepting new patients
Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery Current Accepting new patients
Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery CurrentSince Nov 1, 2013 Accepting new patients
Peter E. Lavine, M.D. PastSince Feb 18, 1992 Accepting new patients

Locations

1145 19th St NW
Ste 710
Washington, DC 20036
Phone (202) 223-8600

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

2616 Sherwood Hall Ln
Ste 300
Alexandria, VA 22306
Phone (703) 780-1115

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4697/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591401600000",
    "number": "1902994239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 19TH ST NW STE 710",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363713",
            "telephone_number": "202-223-8600",
            "fax_number": "202-828-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 19TH ST NW STE 710",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363713",
            "telephone_number": "202-223-8600",
            "fax_number": "202-828-9376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 Parkers Ln",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223063209",
            "country_code": "US",
            "telephone_number": "703-799-3889",
            "fax_number": "703-888-3466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVINE",
        "first_name": "PETER",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-06-06",
        "certification_date": "2020-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D40787",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101046643",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "DC",
            "license": "MD18740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peter.lavine.1@4697.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1145 19th St NW Ste 710",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200363713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peter.lavine.1@4697.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2501 Parkers Ln",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223063209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.