Individual provider Active NPI

Douglas B Wilhite, MD

  • Surgery Physician
  • Salisbury, MD
National Provider Identifier
1164455580
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D62107 Issued in MD
Practice address
6507 Deer Pointe Driver
Salisbury, MD 21804
Phone
(410) 543-9332
Fax
(410) 543-9237
NPI assigned
Jul 9, 2006
Last updated
Oct 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X D62107 MD Primary

Addresses

Primary practice location

6507 Deer Pointe Driver
Salisbury, MD 21804

Mailing address

6507 Deer Pointe Drive
Salisbury, MD 21804
Phone (410) 543-9332

Other identifiers 1

IdentifierTypeStateIssuer
406073300MedicaidMD

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040929000747 MD Practitioner - Vascular SurgeryPractitioner - General Surgery 3779552476 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Georgetown University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trauma Surgical AssocGroup PAC ID 1951472695, 6 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Mid Atlantic Surgical GroupGroup PAC ID 0749259448, 8 clinicians

Practice addresses (Care Compare)

100 E Carroll St
Salisbury, MD 21801-5422
Phone (410) 543-9322

1305 S Salisbury Blvd
Suite 5
Salisbury, MD 21801-6845
Phone (667) 253-2323

6507 Deer Pointe Dr
Salisbury, MD 21804-1667
Phone (410) 543-9332

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.22 of 100Reported as individual
Quality
100
Promoting interoperability
99
Improvement activities
40
Cost
76.69

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Varicose vein removal13
Leg revascularization (restoring blood flow)92

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Atlantic Surgical Group Surgery CurrentSince Oct 1, 2004 Accepting new patients
Trauma Surgical Assoc CurrentSince Jul 1, 2007 Accepting new patients
Tidalhealth Peninsula Regional, Inc. Past Accepting new patients

Locations

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

6507 Deer Pointe Dr
Salisbury, MD 21804
Phone (410) 543-9332

804 Snow Hill Rd
Salisbury, MD 21804
Phone (410) 543-7599

Interoperability endpoints

  • Direct secure messaging: douglas.wilhite@masg.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222992000000",
    "number": "1164455580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6507 DEER POINTE DRIVE",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "21804",
            "telephone_number": "410-543-9332",
            "fax_number": "410-543-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6507 DEER POINTE DRIVER",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "21804",
            "telephone_number": "410-543-9332",
            "fax_number": "410-543-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILHITE",
        "first_name": "DOUGLAS",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2008-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D62107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406073300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.