Individual provider Active NPI

Michael Paul Vietz, M.D.

  • Obstetrics & Gynecology Physician
  • Baltimore, MD
National Provider Identifier
1194859108
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D0041539 Issued in MD
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
774011500MedicaidMD

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
I20050516000145 MD Practitioner - Obstetrics/Gynecology 3577504075 Reassigns benefits to 4 organizations

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
Seton Medical Group IncGroup PAC ID 7416037924, 77 clinicians
St Agnes Healthcare IncGroup PAC ID 9830092733, 265 clinicians

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

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0041539MDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Agnes Healthcare Inc Obstetrics & Gynecology CurrentSince Sep 18, 2017 Accepting new patients
Seton Medical Group, Inc Obstetrics & Gynecology CurrentSince Sep 18, 2017 Accepting new patients
Obhg Maryland PC Obstetrics & Gynecology CurrentSince Aug 1, 2022 Accepting new patients
St Agnes Healthcare Inc CurrentSince Sep 18, 2017 Accepting new patients
Obhg Maryland PC Obstetrics & Gynecology CurrentSince Aug 1, 2022 Accepting new patients
Womens Center OB GYN Assoc LLC Obstetrics & Gynecology PastSince Aug 1, 1995 Accepting new patients
OB GYN & Endoscopy of Carroll County, LLC Obstetrics & Gynecology PastSince May 1, 2005 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.