Wendy Ruth Gottlieb, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101231213 Issued in VA

Practice address

1800 Town Center Dr
Suite 418
Reston, VA 20190-3215

Phone

(703) 668-9499

Fax

(703) 689-4998

NPI assigned

Mar 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: drgottlieb@drgottlieb.amazing-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wendy R. Gottlieb, M.D.,P.L.C.

  • Specialist
  • Reston, VA
  • NPI 1851312938
  Authorized official Same address or phone
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1073573382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 TOWN CENTER DR",
            "address_2": "SUITE 418",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903215",
            "telephone_number": "703-668-9499",
            "fax_number": "703-689-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 TOWN CENTER DR",
            "address_2": "SUITE 418",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903215",
            "telephone_number": "703-668-9499",
            "fax_number": "703-689-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTLIEB",
        "first_name": "WENDY",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101231213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01-00444448",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan S Gorbach, MD
• Andrew Harris Gordon, M.D., PH.D.
• Patricia Gore, PA-C
• Andrea Goren
• Alexia R Gospodinoff, M.D.
• Laura Magane Goyer, PA-C
• Gracefield Whole-Person Healthcare LLC
• Matthew John Gramkee, DDS
• Lakeisha Grayer, LPC
• Allison Green, MPT

• Specialist in Reston, VA
• Providers in Reston, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.