Active NPI
Glenn T Wetzel, MD
- Pediatric Cardiology Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- D95664
- Practice address
- 848 Adams Ave
Memphis, TN 38103 - Phone
- (901) 287-7337
- NPI assigned
- Apr 26, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 39312 | TN | |
| Pediatric Cardiology Physician | 2080P0202X | 39312 | TN | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | D95664 | MD | |
| Pediatric Cardiology Physician | 2080P0202X | D95664 | MD | Primary |
Addresses
Primary practice location
848 Adams Ave
Memphis, TN 38103
Mailing address
49 N Dunlap St Ste 345
Memphis, TN 38103-2802
Phone (901) 287-5092
Other practice location 1
600 N Wolfe St
Baltimore, MD 21287-0005
Phone (410) 955-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3325777 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of California, San Diego School of Medicine, 1985
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
4940 Eastern Ave
Baltimore, MD 21224-2735
Phone (410) 550-0100
600 N Wolf St
Baltimore, MD 21287-0005
Phone (410) 955-5000
600 N Wolfe St
Blalock 266
Baltimore, MD 21287-0005
Phone (410) 502-4340
601 N Caroline St
Baltimore, MD 21287-0006
Phone (410) 955-5080
Hospital & facility affiliations
- Johns Hopkins Hospital, the
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.31 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D95664 | MD | MD | Pediatric Cardiology Physician |
| 39312 | TN | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Current | Accepting new patients | |
| Ut Lebonheur Pediatric Specialists, Inc. | Pediatric Cardiology | Current | Accepting new patients |
| Johns Hopkins University | Pediatric Cardiology | Current | Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| The Johns Hopkins Hospital | Past | Accepting new patients |
Locations
1800 Orleans St
Baltimore, MD 21287
Phone (410) 502-2037
600 N Wolfe St
Baltimore, MD 21287
601 N Caroline St
Baltimore, MD 21287
Phone (410) 955-5080
400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300
6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704
100 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 747-1800
1407 Union Ave
Ste 200
Memphis, TN 38104
Phone (901) 866-8360
930 Madison Ave
Ste 200
Memphis, TN 38103
Phone (901) 448-6650
848 Adams Ave
Memphis, TN 38103
Phone (901) 287-5437
850 Poplar Ave
Bldg 2
Memphis, TN 38105
Phone (901) 287-5594
Interoperability endpoints
- gwetzel1030558@direct.hopkinsmedicine.org
Organizations & group practices 6
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.
-
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
- Pediatrics Physician
- Memphis, TN
- NPI 1093024101
Pediatric Cardiology
-
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
- Pediatric Cardiology Physician
- Baltimore, MD
- NPI 1881694263
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1578597993
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1578597993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709769600000",
"number": "1023074010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 N DUNLAP ST STE 345",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381032802",
"telephone_number": "901-287-5092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "848 ADAMS AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38103",
"telephone_number": "901-287-7337"
}
],
"practiceLocations": [
{
"address_1": "600 N Wolfe St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212870005",
"country_code": "US",
"telephone_number": "410-955-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WETZEL",
"first_name": "GLENN",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "TN",
"license": "39312",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "TN",
"license": "39312",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "MD",
"license": "D95664",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "MD",
"license": "D95664",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3325777",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.