Eliyahu Wiener

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C0008618 Issued in MD

Practice address

6815 Maurleen Rd
Baltimore, MD 21209-1422

Phone

(410) 499-3799

NPI assigned

Sep 6, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CRH MD Management LLCGroup PAC ID 2466841028, 70 clinicians

Primemed LLCGroup PAC ID 0648790451, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

53.05 of 100Reported as group

Quality

49.52

Promoting interoperability

0

Improvement activities

40

Cost

77.32

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Primemed LLC

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1437978152
  Medicare reassignment Care Compare group Authorized official
• CRH MD Management LLC

  • Urgent Care Clinic/Center
  • Reisterstown, MD
  • NPI 1598435059

  DC

  Medicare reassignment Care Compare group NPD
• CRH MD Management LLC

  • Urgent Care Clinic/Center
  • Clinton, MD
  • NPI 1972263143
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1043931389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 RED CEDAR PL UNIT 104",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093841",
            "telephone_number": "410-499-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 MAURLEEN RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091422",
            "telephone_number": "410-499-3799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 Liberty Rd",
            "address_purpose": "LOCATION",
            "city": "Eldersburg",
            "state": "MD",
            "postal_code": "217847927",
            "country_code": "US",
            "telephone_number": "410-617-9129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIENER",
        "first_name": "ELIYAHU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-06",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "C0008618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tessa Wiedl, RD, LDN
• Brett A Wiegrefe, PT
• Mark Darlington Wieland, MD
• Nikki Rae Wieman, LGPC
• Charles Wiener, M.D.
• Nancy Beth Wiener
• Andrew Wienhold
• Wienner Inc
• Wienner Inc
• Stephen M Wienner, BS.P.

• Internal Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.

Verify at the official NPI Registry.