Active NPI
Wilton O R Nedd, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Washington, DC
National Provider Identifier
1003835034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- MD14391
- Practice address
- 1328 Southern Ave SE Ste 302
Washington, DC 20032-4689 - Phone
- (202) 574-6055
- Fax
- (202) 373-5956
- NPI assigned
- Jul 19, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | MD14391 | DC | Primary |
Addresses
Primary practice location
1328 Southern Ave SE Ste 302
Washington, DC 20032-4689
Mailing address
1310 Southern Ave SE
Washington, DC 20032-4623
Phone (202) 574-6055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016400132 | Medicaid | DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Howard University College of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7474 Greenway Ctr Dr
Suite 1100
Greenbelt, MD 20770-3500
Phone (301) 441-3050
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 91 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Cardiology Associates, LLC | Current | Accepting new patients |
Locations
7474 Greenway Center Dr
Ste 1100
Greenbelt, MD 20770
Phone 3014413050138
1450 Mercantile Ln
Ste 151
Uppr Marlboro, MD 20774
Phone (301) 322-8014
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1003835034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 SOUTHERN AVE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200324623",
"telephone_number": "202-574-6055",
"fax_number": "202-373-5956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1328 SOUTHERN AVE SE STE 302",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200324689",
"telephone_number": "202-574-6055",
"fax_number": "202-373-5956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEDD",
"first_name": "WILTON",
"middle_name": "O R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "DC",
"license": "MD14391",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016400132",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.