NPIMap

Individual provider Active NPI

Wendie Katrina Grader-Beck, M.D.

  • Internal Medicine Physician
  • Reisterstown, MD
National Provider Identifier
1003277468
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D69786 Issued in MD
Practice address
28 Farm Gate Way
Reisterstown, MD 21136-1125
Phone
(443) 513-0137
NPI assigned
Mar 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D69786 MD Primary
Pediatrics Physician 208000000X D69786 MD

Addresses

Primary practice location

28 Farm Gate Way
Reisterstown, MD 21136-1125

Mailing address

28 Farm Gate Way
Reisterstown, MD 21136-1125
Phone (443) 513-0137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160902000632 MD Practitioner - Internal Medicine 5193011971 Reassigns benefits to 1 organization
I20180409000167 DC Practitioner - Pediatric MedicinePractitioner - Internal Medicine 5193011971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Harvard Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7505 Osler Dr
Suite 406
Towson, MD 21204-7739
Phone (410) 560-6199

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MNR Industries,LLC CurrentSince Jun 15, 2016 Accepting new patients
MNR Industries LLC Current Accepting new patients
MNR Industries, LLC Current Accepting new patients
MNR Industries, LLC CurrentSince Jun 15, 2016 Accepting new patients
MNR Industries, LLC CurrentSince Jan 27, 2018 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Jul 1, 2020 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Jul 1, 2020 Accepting new patients

Locations

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

7505 Osler Dr
Ste 305
Towson, MD 21204
Phone (410) 296-9575

7505 Osler Dr
Ste 406
Towson, MD 21204
Phone (410) 339-7000

Interoperability endpoints

  • Direct secure messaging: wgraderbeck685455@direct.umm.edu

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.

Hospital & facility affiliations 9

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": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1003277468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 FARM GATE WAY",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361125",
            "telephone_number": "443-513-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 FARM GATE WAY",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361125",
            "telephone_number": "443-513-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADER-BECK",
        "first_name": "WENDIE",
        "middle_name": "KATRINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D69786",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D69786",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reisterstown, MD

Sources for this page

Verify at the official NPI Registry.