Julia A. Wisniewski, M.D.

Primary specialty

Pediatric Allergy/Immunology PhysicianTaxonomy code 2080P0201X

License

0101247902 Issued in VA

Practice address

314 Wyndhurst Ave
Baltimore, MD 21210-2416

Phone

(410) 717-5012

Fax

(410) 413-0263

NPI assigned

Jun 3, 2008

Reactivated

May 17, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Sudhir Sekhsaria M. D. P.C.

  • Specialist
  • White Marsh, MD
  • NPI 1396878716
  Medicare reassignment NPD
• Plat1 LLC

  • Allergy & Immunology Physician
  • Baltimore, MD
  • NPI 1609757822
  NPD Authorized official

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1205095593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WOODLAWN RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102546",
            "telephone_number": "410-717-5012",
            "fax_number": "410-413-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 WYNDHURST AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102416",
            "telephone_number": "410-717-5012",
            "fax_number": "410-413-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISNIEWSKI",
        "first_name": "JULIA",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "deactivation_date": "2022-04-08",
        "reactivation_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MD",
            "license": "D0088400",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "245804",
            "primary": false
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "VA",
            "license": "0101247902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Wiseman
• Robert William Wisner-Carlson, M.D.
• Amanda Catherine Wisniewski, LMSW
• Carolyn R Wisniewski, C.R.N.P.
• Emily Wisniewski, M.D.
• Cody Michael Wisnom, DDS
• Stephen John Witanowski, MD
• Kristina Grace Witcher, MD
• With Grace Supportive Living
• With Love Assisted Living and Adult Care Limited Liability Company

• Pediatric Allergy/Immunology Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Pediatric Allergy/Immunology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.