Peter E Petrucci, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD5795 Issued in DC

Practice address

3301 New Mexico Ave NW, Suite 206
JHCP Surgery Foxhall
Washington, DC 20016-3622

Phone

(202) 895-1440

Fax

(202) 895-1448

NPI assigned

Dec 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Lucy Webb Hayes National Training School for Deaconesses & Missionarie

  • Skilled Nursing Facility
  • Washington, DC
  • NPI 1477503092
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1952386237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 WYMAN PARK DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 NEW MEXICO AVE NW, SUITE 206",
            "address_2": "JHCP SURGERY FOXHALL",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200163622",
            "telephone_number": "202-895-1440",
            "fax_number": "202-895-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRUCCI",
        "first_name": "PETER",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "DC",
            "license": "MD5795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROADERS",
            "identifier": "407023060",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JHCP TAX ID",
            "identifier": "521467441",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mecca Aliyah Petross
• Mikael Petrosyan, MD
• Abraham Petrovic
• Nancy Noemi Petrovic
• Charise Taylor Petrovitch, MD
• Liana J Petruzzi, LCSW
• Sarah Irene Petry, MS CCC-SLP
• Magdalena Petryniak, M.D.
• Brigitte Petsoh
• Petticare

• Surgery Physician in Washington, DC
• Providers in Washington, DC by specialty
• Surgery Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.