NPIMap

Individual provider Active NPI

Peter J Costantini, D.O.

  • Pulmonary Disease Physician
  • Berlin, MD
National Provider Identifier
1982704342
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
H0074232 Issued in MD
Practice address
10614 Racetrack Road
Berlin, MD 21811
Phone
(410) 208-9761
Fax
(410) 208-9764
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 25MB03627200 NJ
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 25MB03627200 NJ
Pulmonary Disease Physician 207RP1001X H0074232 MD Primary

Addresses

Primary practice location

10614 Racetrack Road
Berlin, MD 21811

Mailing address

10026 Old Ocean City Blvd
Building #1
Berlin, MD 21811-1288
Phone (410) 641-9450

Other identifiers 3

IdentifierTypeStateIssuer
055770600MedicaidMD
68762OtherAETNA
829580OtherAMERIHEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120829000046 MD Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 4880756485 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tidalhealth Specialty Care LLC 375 clinicians
Tidalhealth Atlantic Inc 95 clinicians

Practice addresses (Care Compare)

100 E Carroll St
Salisbury, MD 21801-5422

10344 Old Ocean City Blvd
Suite 2
Berlin, MD 21811-1162
Phone (410) 641-0430

Hospital & facility affiliations

  • Atlantic General Hospital Hospital, Berlin, MD, CCN 210061
  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019

Merit-based Incentive Payment System (MIPS)

Final score
82.2 of 100Reported as group
Quality
70.92
Promoting interoperability
98
Improvement activities
40
Cost
71.41

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tidalhealth Specialty Care, LLC CurrentSince Mar 1, 2026 Accepting new patients
Atlantic General Hospital Corporation Pulmonary Disease CurrentSince Jul 23, 2012 Accepting new patients
Atlantic Shore Pul Assoc Critical Care Medicine Current Accepting new patients
Tidalhealth Atlantic, Inc. CurrentSince Jul 23, 2012 Accepting new patients
Atlanticare Physician Group PastSince Feb 1, 2013 Accepting new patients
Atlantic Immedicare LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

9714 Healthway Dr
Berlin, MD 21811
Phone (410) 641-2600

10026 Old Ocean City Blvd
Ste 1
Berlin, MD 21811

10344 Old Ocean City Blvd
Berlin, MD 21811
Phone (410) 641-4582

10344 Old Ocean City Blvd
Ste 2
Berlin, MD 21811
Phone (410) 641-0430

10614 Racetrack Rd
Unit 5
Berlin, MD 21811
Phone (410) 208-9761

10614 Racetrack Rd
Berlin, MD 21811
Phone (410) 208-9761

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

6040 Public Landing Rd
Snow Hill, MD 21863
Phone (410) 629-0041

18 W New York Ave
Somers Point, NJ 08244
Phone (609) 365-5300

Interoperability endpoints

  • Direct secure messaging: petercostantini@agh.allscriptsdirect.net

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 2

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1982704342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10026 OLD OCEAN CITY BLVD",
            "address_2": "BUILDING #1",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111288",
            "telephone_number": "410-641-9450",
            "fax_number": "410-641-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10614 RACETRACK ROAD",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "21811",
            "telephone_number": "410-208-9761",
            "fax_number": "410-208-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTANTINI",
        "first_name": "PETER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MB03627200",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "25MB03627200",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MD",
            "license": "H0074232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055770600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "68762",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "829580",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, MD

Sources for this page

Verify at the official NPI Registry.