NPIMap

Individual provider Active NPI

Bruce Wasserman, M.D.

  • Diagnostic Radiology Physician
  • Baltimore, MD
National Provider Identifier
1023054608
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D52095 Issued in MD
Practice address
22 S Greene St
Dept of Radiology
Baltimore, MD 21201-1544
Phone
(410) 328-3477
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X D52095 MD
Diagnostic Radiology Physician 2085R0202X D52095 MD Primary

Addresses

Primary practice location

22 S Greene St
Dept of Radiology
Baltimore, MD 21201-1544

Mailing address

22 S Greene St
Dept of Radiology
Baltimore, MD 21201-1544
Phone (410) 328-3477

Other identifiers 2

IdentifierTypeStateIssuer
026300100MedicaidMD
016257078MedicaidDC

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
I20070817000502 MD Practitioner - Diagnostic Radiology 7719976091 Reassigns benefits to 4 organizations
I20170315000054 DC Practitioner - Diagnostic Radiology 7719976091 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Rochester School of Medicine and Dentistry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Maryland Diagnostic Imaging Specialists P aGroup PAC ID 7719873298, 81 clinicians
University Imaging Center, LLCGroup PAC ID 2769378686, 56 clinicians
University of Maryland Diagnostic Radiology, LLCGroup PAC ID 0345513248, 47 clinicians

Practice addresses (Care Compare)

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-5700

419 W Redwood St
Baltimore, MD 21201-1734
Phone (410) 328-3225

5 N la Plata CT
Suite 104
La Plata, MD 20646-5207
Phone (301) 539-0345

Hospital & facility affiliations

  • University of Maryland Medical Center Hospital, Baltimore, MD, CCN 210002
  • University of MD Capital Region Medical Center Hospital, Upper Marlboro, MD, CCN 210003
  • University of MD Medical Center Midtown Campus Hospital, Baltimore, MD, CCN 210038
  • Umd Rehabilitation & Orthopaedic Institute Hospital, Baltimore, MD, CCN 210058
  • University of MD Shore Medical Ctr at Chestertown Hospital, Chestertown, MD, CCN 210030

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D52095MDMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University Neuroradiology CurrentSince Jul 1, 1998 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Neuroradiology CurrentSince Mar 1, 2021 Accepting new patients
Johns Hopkins University CurrentSince Feb 10, 2017 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Neuroradiology CurrentSince Mar 1, 2021 Accepting new patients
Johns Hopkins University CurrentSince Jul 1, 1998 Accepting new patients
University of Maryland Diagnostic Radiology, LLC Neuroradiology CurrentSince Mar 1, 2021 Accepting new patients
Johns Hopkins University Current Accepting new patients
University Imaging Center, LLC Neuroradiology CurrentSince Mar 1, 2021 Accepting new patients
University Imaging Center, LLC Neuroradiology CurrentSince Mar 1, 2021 Accepting new patients
University of Maryland Diagnostic Radiology, LLC Neuroradiology CurrentSince Mar 1, 2021 Accepting new patients
American Radiology Associates, P.a. Neuroradiology Past Accepting new patients
Radiology Services of New York, PC Diagnostic Radiology Past Accepting new patients
American Radiology Associates, P.a. Neuroradiology Past Accepting new patients
Radiology Services of New York, PC Diagnostic Radiology Past Accepting new patients

Locations

22 S Greene St
Rm N2E23
Baltimore, MD 21201
Phone (410) 328-5656

600 N Wolfe St
Baltimore, MD 21287

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

419 W Redwood St
Baltimore, MD 21201
Phone (410) 328-5196

6420 Rockledge Dr
Bethesda, MD 20817
Phone (301) 896-6700

100 Brown St
Chestertown, MD 21620
Phone (410) 778-3300

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

5 N La Plata Ct
Ste 104
La Plata, MD 20646
Phone (301) 539-0345

Interoperability endpoints

  • Direct secure messaging: bwasserman49629@direct.hopkinsmedicine.org

Organizations & group practices 14

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 14

Hospital & facility affiliations 5

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1023054608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "address_2": "DEPT OF RADIOLOGY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "address_2": "DEPT OF RADIOLOGY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSERMAN",
        "first_name": "BRUCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MD",
            "license": "D52095",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D52095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026300100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016257078",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.