Active NPI
Peter David Lagman Descallar
- Certified Registered Nurse Anesthetist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 336235
- Practice address
- 1111 E McDowell Rd
Phoenix, AZ 85006-2612 - Phone
- (602) 839-2000
- NPI assigned
- Mar 8, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 153333 | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | 336235 | AZ | Primary |
| Registered Nurse | 163W00000X | RN770409 | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | 714705 | NY | |
| Registered Nurse | 163W00000X | 714705 | NY |
Addresses
Primary practice location
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Mailing address
129 N Washington Ave Apt 606
Scranton, PA 18503-2204
Phone (626) 235-1935
Other practice location 1
707 E Main St
Middletown, NY 10940-2650
Phone (845) 333-1000
Other practice location 2
700 Quincy Ave # A
Scranton, PA 18510-1724
Phone (570) 770-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA, AZ
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
575 N River St
Wilkes Barre, PA 18764-0999
Phone (570) 829-8111
707 E Main St
Middletown, NY 10940-2650
Phone (845) 333-1000
Hospital & facility affiliations
- Garnet Health Medical Center
- Garnet Health Medical Center Catskills
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN770409 | PA | MD | Registered Nurse |
| 336235 | AZ | MD | Certified Registered Nurse Anesthetist |
| 714705 | NY | MD | Certified Registered Nurse Anesthetist |
| 153333 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia LLP | Current | Accepting new patients | |
| 360 Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
7 Southwoods Blvd
Ste 4
Albany, NY 12211
3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
707 E Main St
Middletown, NY 10940
Phone (845) 333-1000
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
700 Quincy Ave
#A
Scranton, PA 18510
Phone (570) 770-5000
575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Wilkes Barre, PA
- NPI 1811637366
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
-
- Anesthesiology Physician
- Phoenix, AZ
- NPI 1285660704
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Middletown, NY
- NPI 1609875772
-
- Rural Acute Care Hospital
- Harris, NY
- NPI 1710977012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1992504518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 N WASHINGTON AVE APT 606",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185032204",
"telephone_number": "626-235-1935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 E MCDOWELL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062612",
"telephone_number": "602-839-2000"
}
],
"practiceLocations": [
{
"address_1": "707 E Main St",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "NY",
"postal_code": "109402650",
"country_code": "US",
"telephone_number": "845-333-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 Quincy Ave # A",
"address_purpose": "LOCATION",
"city": "Scranton",
"state": "PA",
"postal_code": "185101724",
"country_code": "US",
"telephone_number": "570-770-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DESCALLAR",
"first_name": "PETER DAVID",
"middle_name": "LAGMAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-03-08",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "153333",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AZ",
"license": "336235",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN770409",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "714705",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "714705",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.