Active NPI
Michael Paul Vietz, M.D.
- Obstetrics & Gynecology Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- D0041539
- Practice address
- 3449 Wilkens Ave Ste 305
Baltimore, MD 21229 - Phone
- (410) 464-4125
- Fax
- (410) 644-6232
- NPI assigned
- Mar 14, 2007
- Last updated
- Aug 6, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | D0041539 | MD | Primary |
Addresses
Primary practice location
3449 Wilkens Ave Ste 305
Baltimore, MD 21229
Mailing address
3449 Wilkens Ave Ste 305
Baltimore, MD 21229-5218
Phone (410) 464-4125
Other practice location 1
1380 Progress Way
Suite 102
Eldersburg, MD 21784-6464
Phone (410) 876-7049
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 774011500 | Medicaid | MD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3449 Wilkens Ave
Suite 305
Baltimore, MD 21229-5218
Phone (410) 644-2582
900 Caton Ave
Baltimore, MD 21229-5201
Phone (667) 234-6000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0041539 | MD | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Agnes Healthcare Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Seton Medical Group, Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Obhg Maryland PC | Obstetrics & Gynecology | Current | Accepting new patients |
| St Agnes Healthcare Inc | Current | Accepting new patients | |
| Obhg Maryland PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Womens Center OB GYN Assoc LLC | Obstetrics & Gynecology | Past | Accepting new patients |
| OB GYN & Endoscopy of Carroll County, LLC | Obstetrics & Gynecology | Past | Accepting new patients |
| St. Agnes Healthcare, Inc. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1001 Pine Heights Ave
Ste 205
Baltimore, MD 21229
Phone (410) 369-2000
3449 Wilkens Ave
Ste 305
Baltimore, MD 21229
Phone (410) 368-8685
900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120
700 Geipe Rd
Ste 200
Catonsville, MD 21228
Phone (410) 292-0038
219 S Washington St
Easton, MD 21601
2850 North Ridge Rd
Ste 103
Ellicott City, MD 21043
Phone (410) 465-8119
1131 Benfield Blvd
Ste G
Millersville, MD 21108
Phone (410) 458-8085
200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Columbia, MD
- NPI 1144409194
Obstetrics & Gynecology
-
dba Integrated Specialists Group
- Internal Medicine Physician
- Baltimore, MD
- NPI 1144250176
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Bel Air, MD
- NPI 1851657894
-
dba BMS@Yard56
- Federally Qualified Health Center (FQHC)
- Baltimore, MD
- NPI 1164138152
-
- Obstetrics & Gynecology Physician
- Eldersburg, MD
- NPI 1164696647
-
- Obstetrics & Gynecology Physician
- Easton, MD
- NPI 1699580407
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1780615922
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
dba St.Agnes Hospital
- General Acute Care Hospital
- Baltimore, MD
- NPI 1245274901
-
- Obstetrics & Gynecology Physician
- Ellicott City, MD
- NPI 1013930981
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St.Agnes Hospital
- General Acute Care Hospital
- Baltimore, MD
- NPI 1245274901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533513600000",
"number": "1194859108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3449 WILKENS AVE STE 305",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212295218",
"telephone_number": "410-464-4125",
"fax_number": "410-644-6232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3449 WILKENS AVE STE 305",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21229",
"telephone_number": "410-464-4125",
"fax_number": "410-644-6232"
}
],
"practiceLocations": [
{
"address_1": "1380 Progress Way",
"address_2": "Suite 102",
"address_purpose": "LOCATION",
"city": "Eldersburg",
"state": "MD",
"postal_code": "217846464",
"country_code": "US",
"telephone_number": "410-876-7049",
"fax_number": "410-795-7054",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VIETZ",
"first_name": "MICHAEL",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2018-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MD",
"license": "D0041539",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "774011500",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.