Individual provider Active NPI

Wayne Hwang, MD

  • Diagnostic Radiology Physician
  • Silver Spring, MD
National Provider Identifier
1104843887
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D0063503 Issued in MD
Practice address
2121 Medical Park Drive
Suite 3
Silver Spring, MD 20902
Phone
(301) 681-3003
Fax
(301) 681-5868
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D0063503 MD Primary

Addresses

Primary practice location

2121 Medical Park Drive
Suite 3
Silver Spring, MD 20902

Mailing address

4718 Carr Drive
Per SE Technologies Ellie Conley
Fredericksburg, VA 22408
Phone (540) 891-5764

Other identifiers 3

IdentifierTypeStateIssuer
80430041OtherDCBLUE SHIELD
408732100MedicaidMD
60234801OtherMDBLUE SHIELD

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051027000235 DC Practitioner - Diagnostic Radiology 4587681762 Reassigns benefits to 4 organizations
I20151029002761 MD Practitioner - Diagnostic Radiology 4587681762 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Imaging Network PCGroup PAC ID 6103259304, 79 clinicians
Diagnostic Medical Imaging PAGroup PAC ID 7719885342, 11 clinicians
Blackwell Physicians, LLCGroup PAC ID 2163810383, 67 clinicians

Practice addresses (Care Compare)

1080 Brook Valley LN
MC Lean, VA 22102-1532
Phone (443) 436-1116

130 Hospital Rd
Suite Ll100
Prince Frederick, MD 20678-4029
Phone (410) 535-4111

1400 Forest Glen Rd
Suite 430
Silver Spring, MD 20910-1464
Phone (888) 601-0943

1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone (301) 754-7361

5755 Cedar LN
Columbia, MD 21044-2912
Phone (480) 207-4091

9901 Medical Ctr Dr
Rockville, MD 20850-3357
Phone (240) 826-6074

9906 Willow Tree Ter
Rockville, MD 20850-5473
Phone (480) 207-4091

Hospital & facility affiliations

  • Johns Hopkins Howard County Medical Center Hospital, Columbia, MD, CCN 210048
  • Adventist Healthcare Shady Grove Medical Center Hospital, Rockville, MD, CCN 210057
  • Adventist Healthcare White Oak Medical Center Hospital, Silver Spring, MD, CCN 210016
  • Calverthealth Medical Center Hospital, Prince Frederick, MD, CCN 210039

Merit-based Incentive Payment System (MIPS)

Final score
85.95 of 100Reported as group
Quality
75
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0063503MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Nephrology Associates, L.L.P. CurrentSince May 20, 2012 Accepting new patients
Blackwell Physicians, LLC Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Diagnostic Medical Imaging PA Diagnostic Radiology CurrentSince Aug 8, 2005 Accepting new patients
Johns Hopkins University CurrentSince Jan 5, 2023 Accepting new patients
Johns Hopkins University Current Accepting new patients
Maryland Imaging Network PC Diagnostic Radiology CurrentSince Dec 1, 2022 Accepting new patients
Johns Hopkins University Diagnostic Radiology CurrentSince Jan 5, 2023 Accepting new patients
DRS Korsower & Pion Radiology PA Diagnostic Radiology Past Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology PastSince Nov 17, 2024 Accepting new patients
Clinical Imaging of Silver Spring LLC Diagnostic Radiology Past Accepting new patients

Locations

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

230 W Dares Beach Rd
Ste 100106
Prince Frederick, MD 20678
Phone (301) 855-9754

130 Hospital Rd
Ste LL100
Prnc Frederck, MD 20678
Phone (410) 535-4111

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

9601 Blackwell Rd
Ste 150
Rockville, MD 20850
Phone (240) 864-1100

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

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

1400 Forest Glen Rd
Ste 430
Silver Spring, MD 20910
Phone (301) 681-9100

7253 Ambassador Rd
Windsor Mill, MD 21244
Phone (410) 281-9191

4141A Duke St
Alexandria, VA 22304
Phone (703) 461-3556

4718 Carr Dr
Fredericksburg, VA 22408

Organizations & group practices 10

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1104843887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4718 CARR DRIVE",
            "address_2": "PER SE TECHNOLOGIES ELLIE CONLEY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22408",
            "telephone_number": "540-891-5764",
            "fax_number": "540-891-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 MEDICAL PARK DRIVE",
            "address_2": "SUITE 3",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20902",
            "telephone_number": "301-681-3003",
            "fax_number": "301-681-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWANG",
        "first_name": "WAYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0063503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "80430041",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408732100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "60234801",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.