Active NPI
Risa Michelle Wolf, M.D.
- Pediatric Endocrinology Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- License
- D83736
- Practice address
- 200 N Wolfe St BLDG Rm3120
Baltimore, MD 21287-0011 - Phone
- (410) 955-6463
- Fax
- (410) 955-9773
- NPI assigned
- Aug 4, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Endocrinology Physician | 2080P0205X | ME124446 | FL | |
| Pediatric Endocrinology Physician | 2080P0205X | D83736 | MD | Primary |
| Pediatrics Physician | 208000000X | MD441399 | PA |
Addresses
Primary practice location
200 N Wolfe St BLDG Rm3120
Baltimore, MD 21287-0011
Mailing address
9910 Franklin Square Dr Ste 2110
Baltimore, MD 21236-4902
Phone (410) 933-6423
Other practice location 1
9600 W Sample Rd
Suite 505
Coral Springs, FL 33065-4045
Phone (954) 888-3666
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 151NH | Other | FL | FL BLUE |
| 015497400 | Medicaid | FL |
Other names 1
- Risa Michelle Small
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME124446 | FL | MD | Pediatric Endocrinology Physician |
| D83736 | MD | MD | Pediatric Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Pediatric Endocrinology | Current | Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
200 N Wolfe St
Rm 3120
Baltimore, MD 21287
Phone (410) 955-6463
601 N Caroline St
Baltimore, MD 21287
Phone (410) 955-5080
200 N Wolfe St
Baltimore, MD 21287
Phone (410) 614-3917
Interoperability endpoints
- rwolf46016@direct.hopkinsmedicine.org
Organizations & group practices 4
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
-
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
- Pediatric Endocrinology Physician
- Baltimore, MD
- NPI 1730176264
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506988800000",
"number": "1033375670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9910 FRANKLIN SQUARE DR STE 2110",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212364902",
"telephone_number": "410-933-6423",
"fax_number": "410-933-1390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N WOLFE ST BLDG RM3120",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870011",
"telephone_number": "410-955-6463",
"fax_number": "410-955-9773"
}
],
"practiceLocations": [
{
"address_1": "9600 W Sample Rd",
"address_2": "Suite 505",
"address_purpose": "LOCATION",
"city": "Coral Springs",
"state": "FL",
"postal_code": "330654045",
"country_code": "US",
"telephone_number": "954-888-3666",
"fax_number": "954-753-6377",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOLF",
"first_name": "RISA",
"middle_name": "MICHELLE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-04",
"last_updated": "2017-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "FL",
"license": "ME124446",
"primary": false
},
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "MD",
"license": "D83736",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD441399",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL BLUE",
"identifier": "151NH",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015497400",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RISA",
"last_name": "SMALL",
"middle_name": "MICHELLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.