Individual provider Active NPI

Tiffany Chanel Wilson, M.D.

  • Obstetrics & Gynecology Physician
  • Silver Spring, MD
National Provider Identifier
1073773313
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD040762 Issued in DC
Practice address
1400 Forest Glen Rd
Suite 500
Silver Spring, MD 20910-1459
Phone
(301) 681-6772
Fax
(301) 681-2773
NPI assigned
Jun 10, 2008
Last updated
Nov 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D76784 MD
Obstetrics & Gynecology Physician 207V00000X DR.0070670 CO
Obstetrics & Gynecology Physician 207V00000X MD040762 DC Primary

Addresses

Primary practice location

1400 Forest Glen Rd
Suite 500
Silver Spring, MD 20910-1459

Mailing address

1400 Forest Glen Rd
Suite 500
Silver Spring, MD 20910-1459
Phone (301) 681-6772

Other practice location 1

14300 Orchard Pkwy
Westminster, CO 80023-9206
Phone (303) 426-2580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, CO2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120807000523 DC Practitioner - Obstetrics/Gynecology 1153577143 Reassigns benefits to 3 organizations
I20231201001574 CO Practitioner - Obstetrics/Gynecology 1153577143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Howard University College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

14300 Orchard Pkwy
FL 3
Westminster, CO 80023-9206
Phone (303) 426-2580

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD040762DCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado CurrentSince Jan 14, 2024 Accepting new patients
Mary's Center for Maternal and Child Care Inc CurrentSince Sep 28, 2021 Accepting new patients
Pediatrix Medical Group of the Mid-Atlantic PC CurrentSince Jan 20, 2023 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Adventist Physician Services, Inc. CurrentSince Jun 1, 2025 Accepting new patients
Maryland Physicians Edge LLC CurrentSince Aug 9, 2014 Accepting new patients
Marys Center for Maternal and Child Care Inc CurrentSince Sep 28, 2021 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jan 14, 2024 Accepting new patients
Mary's Center for Maternal and Child Care, Inc Current Accepting new patients
Maryland Physicians Edge LLC Obstetrics & Gynecology CurrentSince Aug 9, 2014 Accepting new patients
Catholic Health Iniatives Colorado Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

100 Gallatin St NE
Washington, DC 20011
Phone (202) 545-0515

2333 Ontario Rd NW
Washington, DC 20009
Phone (202) 420-7175

3912 Georgia Ave NW
Washington, DC 20011
Phone (844) 796-2797

6315 5th St NW
Washington, DC 20011
Phone (202) 309-0553

820 W Diamond Ave
Gaithersburg, MD 20878
Phone (301) 315-3030

820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878

8908 Riggs Rd
Hyattsville, MD 20783
Phone (301) 422-5900

9715 Medical Center Dr
Ste 530
Rockville, MD 20850
Phone (240) 464-6642

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

11890 Healing Way
Silver Spring, MD 20904
Phone (240) 637-4000

11890 Healing Way
Ste 6S
Silver Spring, MD 20904
Phone (240) 637-4000

1400 Forest Glen Rd
Ste 500
Silver Spring, MD 20910
Phone (301) 453-5970

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

344 University Blvd W
Silver Spring, MD 20901
Phone (301) 439-0300

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1073773313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 FOREST GLEN RD",
            "address_2": "SUITE 500",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101459",
            "telephone_number": "301-681-6772",
            "fax_number": "301-681-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 FOREST GLEN RD",
            "address_2": "SUITE 500",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101459",
            "telephone_number": "301-681-6772",
            "fax_number": "301-681-2773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14300 Orchard Pkwy",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800239206",
            "country_code": "US",
            "telephone_number": "303-426-2580",
            "fax_number": "303-426-2590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TIFFANY",
        "middle_name": "CHANEL",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D76784",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "DR.0070670",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "DC",
            "license": "MD040762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.