Individual provider Active NPI

Peter John Bergquist, M.D.

  • Diagnostic Radiology Physician
  • Baltimore, MD
National Provider Identifier
1962792440
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D0080746 Issued in MD
Practice address
22 S Greene St
Baltimore, MD 21201-1544
Phone
(410) 328-8667
NPI assigned
Apr 18, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D0080746 MD Primary

Addresses

Primary practice location

22 S Greene St
Baltimore, MD 21201-1544

Mailing address

22 S Greene St
Baltimore, MD 21201-1544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160804001290 MD Practitioner - Diagnostic Radiology 7315231925 Reassigns benefits to 4 organizations
I20170803003601 DC Practitioner - Diagnostic Radiology 7315231925 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Georgetown University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

110 Irving St NW
Washington, DC 20010-3017
Phone (202) 877-7000

1120 20TH St NW
Washington, DC 20036-3406
Phone (202) 748-8830

12 Medstar Blvd
Bel Air, MD 21015-1798
Phone (443) 625-5430

24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-7900

9000 Franklin Square Dr
Baltimore, MD 21237-3901
Phone (443) 777-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

Merit-based Incentive Payment System (MIPS)

Final score
81.41 of 100Reported as group
Quality
61.45
Promoting interoperability
96
Improvement activities
40
Cost
79.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0080746MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Jul 24, 2017 Accepting new patients
MGMC, LLC Current Accepting new patients
Medstar Medical Group - Southern Maryland LLC CurrentSince Sep 1, 2017 Accepting new patients
Physician Imaging of Washington Hospital Center LLC Diagnostic Radiology CurrentSince Jun 1, 2017 Accepting new patients
Medstar Medical Group II LLC CurrentSince Aug 1, 2024 Accepting new patients
Physician Imaging of Washington Hospital Center, LLC Diagnostic Radiology CurrentSince Jul 1, 2017 Accepting new patients
Medstar Medical Group II LLC CurrentSince Aug 1, 2024 Accepting new patients
Medstar Medical Group Radiology, LLC Diagnostic Radiology CurrentSince Jun 12, 2017 Accepting new patients
Physician Imaging of Washington Hospital Center, LLC Diagnostic Radiology CurrentSince Jun 1, 2017 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jul 24, 2017 Accepting new patients
Medstar Medical Group - Southern Maryland LLC Current Accepting new patients
Physician Imaging of Washington Hospital Center LLC Diagnostic Radiology Current Accepting new patients

Locations

110 Irving St NW
Rm BA94
Washington, DC 20010
Phone (202) 877-6429

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

1133 21st St NW
Ste 801
Washington, DC 20036
Phone (202) 748-8830

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

3301 New Mexico Ave NW
Ste 324
Washington, DC 20016
Phone (202) 686-1316

1120 20th St NW
Washington, DC 20036
Phone (202) 370-1386

3301 New Mexico Ave NW
Washington, DC 20016
Phone (202) 363-5087

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

12 Medstar Blvd
Bel Air, MD 21015
Phone (410) 877-8087

13950 Brandywine Rd
Brandywine, MD 20613
Phone (301) 782-2220

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

5454 Wisconsin Ave
Ste 1100
Chevy Chase, MD 20815
Phone (855) 546-1872

5454 Wisconsin Ave
Ste 1700
Chevy Chase, MD 20815
Phone (301) 656-8100

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

12158 Central Ave
Ste 100
Mitchellville, MD 20721
Phone (301) 430-2750

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

2118 Greenspring Dr
Ste 100
Timonium, MD 21093
Phone (443) 470-1070

Organizations & group practices 12

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1962792440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGQUIST",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-18",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0080746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.