Individual provider Active NPI

Daniel G Woldeab, ACUTE CARE NURSE PRA

  • Acute Care Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1093915720
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R123373 Issued in MD
Practice address
21 S Greene Street
University of Maryland Medical Center
Baltimore, MD 21201
Phone
(410) 328-5382
Fax
(410) 328-5481
NPI assigned
Jul 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R123373 MD Primary

Addresses

Primary practice location

21 S Greene Street
University of Maryland Medical Center
Baltimore, MD 21201

Mailing address

21 S Greene Street
University of Maryland Medical Center
Baltimore, MD 21201
Phone (410) 328-5382

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130306000477 MD Practitioner - Nurse Practitioner 1850546391 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

9000 Franklin Square Dr
Baltimore, MD 21237-3901
Phone (443) 777-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Heart Institute LLC CurrentSince Oct 4, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince Oct 1, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince Oct 1, 2025 Accepting new patients
Medstar Union Memorial Physicians LLC Past Accepting new patients

Locations

201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651

3333 N Calvert St
Ste 670
Baltimore, MD 21218
Phone (410) 933-9000

3333 N Calvert St
Ste LL8
Baltimore, MD 21218
Phone (410) 554-6550

3333 N Calvert St
Baltimore, MD 21218
Phone (410) 235-5405

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

8000 York Rd
Ste Bc
Towson, MD 21252
Phone (410) 704-2707

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.

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185494400000",
    "number": "1093915720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 S GREENE STREET",
            "address_2": "UNIVERSITY OF MARYLAND MEDICAL CENTER",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21201",
            "telephone_number": "410-328-5382",
            "fax_number": "410-328-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 S GREENE STREET",
            "address_2": "UNIVERSITY OF MARYLAND MEDICAL CENTER",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21201",
            "telephone_number": "410-328-5382",
            "fax_number": "410-328-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLDEAB",
        "first_name": "DANIEL",
        "middle_name": "G",
        "credential": "ACUTE CARE NURSE PRA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R123373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.