Individual provider Active NPI

Wai Leong Foo, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Annapolis, MD
National Provider Identifier
1174785190
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
H0077189 Issued in MD
Practice address
116 Defense Hwy Ste 403
Annapolis, MD 21401-7020
Phone
(410) 571-2946
NPI assigned
Jun 30, 2008
Last updated
Nov 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X H0077189 MD Primary

Addresses

Primary practice location

116 Defense Hwy Ste 403
Annapolis, MD 21401-7020

Mailing address

201 Defense Hwy Ste 205
Annapolis, MD 21401-7096
Phone (410) 571-2946

Other practice location 1

7671 Quarterfield Rd Ste 201
Glen Burnie, MD 21061-4407
Phone (410) 571-2946

Other identifiers 2

IdentifierTypeStateIssuer
20A11252OtherCAOSTEOPATHIC MEDICAL BOARD LICENSE
1524902MedicaidTN

Other names 1

  • Dr. Benjamin Wai-Leong Foo Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20140414001145 MD Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain ManagementPractitioner - Pain Management 8628101086 Reassigns benefits to 1 organization
I20160224001848 DC Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 8628101086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management
Education
Lake Erie College of Osteopathic Medicine, Erie, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

110 Hospital Rd
Suite 305
Prince Frederick, MD 20678-4044
Phone (410) 571-2946

120 Sallitt Dr
Suite D
Stevensville, MD 21666-2154
Phone (410) 571-2946

19801 Observation Dr
Germantown, MD 20876-4070
Phone (443) 693-7246

23619 Oak View Dr
Suite R
California, MD 20619-2496
Phone (855) 527-7246

5500 Knoll N Dr
Suite 501
Columbia, MD 21045-2370
Phone (410) 571-2946

7704 Quarterfield Rd
Suite E
Glen Burnie, MD 21061-4412
Phone (855) 527-7246

810 Bestgate Rd
Suite 220
Annapolis, MD 21401-3648
Phone (410) 571-2946

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2293TNMDChiropractor
H0077189MDMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Management Specialists, LLC Physical Medicine & Rehabilitation CurrentSince Apr 1, 2014 Accepting new patients
Advanced Pain Management Specialists, LLC Physical Medicine & Rehabilitation CurrentSince Apr 1, 2014 Accepting new patients
Advanced Pain Management Specialists, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

116 Defense Hwy
Ste 403
Annapolis, MD 21401
Phone (410) 671-2941

201 Defense Hwy
Ste 205
Annapolis, MD 21401

810 Bestgate Rd
Ste 120
Annapolis, MD 21401

810 Bestgate Rd
Ste 220
Annapolis, MD 21401
Phone (800) 997-2460

4660 Wilkens Ave
Ste 208
Baltimore, MD 21229

6602 Church Hill Rd
Ste 550
Chestertown, MD 21620

1576 Merritt Blvd
Ste 18
Dundalk, MD 21222
Phone (443) 530-9750

598 Cynwood Dr
Ste 105
Easton, MD 21601
Phone (410) 822-1221

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

19851 Observation Dr
Ste 360
Germantown, MD 20876

7671 Quarterfield Rd
Ste 301
Glen Burnie, MD 21061
Phone (410) 457-3041

7671 Quarterfield Rd
Ste 301B
Glen Burnie, MD 21061

23000 Moakley St
Ste 206
Leonardtown, MD 20650
Phone (301) 475-5855

8100 Sandpiper Cir
Ste 214
Nottingham, MD 21236
Phone (443) 442-0500

7920 McDonogh Rd
Ste 201
Owings Mills, MD 21117
Phone (443) 321-2590

120 Sallitt Dr
#D
Stevensville, MD 21666
Phone (410) 923-2714

6569 N Charles St
Ste 500
Towson, MD 21204
Phone (410) 296-6090

826 Washington Rd
Ste 210
Westminster, MD 21157
Phone (410) 346-5163

Interoperability endpoints

  • Direct secure messaging: wai.foo.1@11679.direct.athenahealth.com

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, 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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1174785190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 DEFENSE HWY STE 205",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017096",
            "telephone_number": "410-571-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 DEFENSE HWY STE 403",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017020",
            "telephone_number": "410-571-2946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7671 Quarterfield Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210614407",
            "country_code": "US",
            "telephone_number": "410-571-2946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOO",
        "first_name": "WAI LEONG",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "H0077189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSTEOPATHIC MEDICAL BOARD LICENSE",
            "identifier": "20A11252",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1524902",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BENJAMIN WAI-LEONG",
            "last_name": "FOO",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.