Active NPI
Benjamin McVay Petre, M.D.
- Orthopaedic Surgery Physician
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- P21476
- Practice address
- 2000 Medical Pkwy
Ste 101
Annapolis, MD 21401-3742 - Phone
- (410) 295-8900
- Fax
- (410) 280-4701
- NPI assigned
- Jan 30, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | P21476 | MD | Primary |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 49711 | CO |
Addresses
Primary practice location
2000 Medical Pkwy
Ste 101
Annapolis, MD 21401-3742
Mailing address
2000 Medical Pkwy
Ste 101
Annapolis, MD 21401-3743
Phone (410) 295-8900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Rochester School of Medicine and Dentistry, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Novacare Rehabilitation of Ohio Inc
Practice addresses (Care Compare)
1106 Annapolis Rd
Suite 130
Odenton, MD 21113-1739
Phone (410) 268-8862
2000 Medical Pkwy
Suite 101
Annapolis, MD 21401-3743
Phone (410) 268-8862
2001 Medical Pkwy
Annapolis, MD 21401-3280
Phone (443) 481-1000
2003 Medical Pkwy
Annapolis, MD 21401-3081
2003 Medical Pkwy Wayson Pavillion
Advanced Internal Medicine Residenc
Annapolis, MD 21401-3081
Phone (443) 951-4286
656 Youngstown Warren Rd
Niles, OH 44446-4356
Phone (330) 505-1362
Hospital & facility affiliations
- Luminis Health Anne Arundel Medical Center, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 31 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 36 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P21476 | MD | MD | Orthopaedic Surgery Physician |
| 49711 | CO | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
2000 Medical Pkwy
Ste 101
Annapolis, MD 21401
Phone (410) 295-8900
2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366
201 Defense Hwy
Ste 150
Annapolis, MD 21401
15500 Annapolis Rd
Ste 102
Bowie, MD 20715
Phone (301) 805-0190
4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199
1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300
1106 Annapolis Rd
Ste 130
Odenton, MD 21113
Phone (410) 295-8900
Interoperability endpoints
- bpetre24643@direct.aahs.org
Organizations & group practices 7
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.
-
- Maternal & Fetal Medicine Physician
- Annapolis, MD
- NPI 1073580205
-
- Orthopaedic Surgery Physician
- Annapolis, MD
- NPI 1780824615
-
- Obstetrics & Gynecology Physician
- Easton, MD
- NPI 1407227598
-
- Obstetrics & Gynecology Physician
- Annapolis, MD
- NPI 1649812553
-
- Internal Medicine Physician
- Bowie, MD
- NPI 1720835010
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Clinical Medical Laboratory
- Annapolis, MD
- NPI 1356885032
Hospital
-
- General Acute Care Hospital
- Annapolis, MD
- NPI 1477517225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495411200000",
"number": "1972640092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 MEDICAL PKWY",
"address_2": "STE 101",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013743",
"telephone_number": "410-295-8900",
"fax_number": "443-481-6515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 MEDICAL PKWY",
"address_2": "STE 101",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013742",
"telephone_number": "410-295-8900",
"fax_number": "410-280-4701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRE",
"first_name": "BENJAMIN",
"middle_name": "MCVAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2017-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MD",
"license": "P21476",
"primary": true
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "CO",
"license": "49711",
"primary": false
}
],
"identifiers": [],
"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 May 22, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.