Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Peter Elsissy, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629281845

Dr. Peter Elsissy, MD is an Orthopedic Surgery in Redlands, California. Graduated from University of California, Geffen School of Medicine in 2005, 21 years ago. Practices with San Bernardino Medical Orthopaedic Group Inc, a 91-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
21
Trained at
University of California, Geffen School of Medicine
Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1901 W Lugonia Ave Ste 120
Redlands, CA 92374-9704
Phone: (909) 557-1600
Fax: (909) 557-1731
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Reconstructive Orthopaedic Surgery Physician (primary) Taxonomy 207XS0114X · Licence A100039 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1629281845
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 7, 2007
Last updated in NPPESFebruary 24, 2020
Certification dateFebruary 24, 2020
Mailing address1801 Orange Tree Ln Ste 200, Redlands, CA 92374-4587

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice San Bernardino Medical Orthopaedic Group Inc — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Redlands