NPIMap

Individual provider Active NPI

Robert Jordan Wolf, MD

  • Family Medicine Physician
  • Rising Sun, MD
National Provider Identifier
1215925235
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0066323 Issued in MD
Practice address
101 Colonial Way Ste B
Rising Sun, MD 21911-2272
Phone
(443) 485-9116
Fax
(877) 426-3121
NPI assigned
Oct 13, 2005
Last updated
Feb 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0066323 MD Primary

Addresses

Primary practice location

101 Colonial Way Ste B
Rising Sun, MD 21911-2272

Mailing address

101 Colonial Way Ste B
Rising Sun, MD 21911-2272
Phone (443) 485-9116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080226000150 MD Practitioner - Family Practice 9436189297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wolf Medical Group, LLCGroup PAC ID 7719306505, 2 clinicians
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians

Practice addresses (Care Compare)

101 Colonial Way
Suite B
Rising Sun, MD 21911-2272
Phone (443) 485-9116

12 Newport Dr
Forest Hill, MD 21050-1758

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0066323MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wolf Medical Group, LLC Family Medicine CurrentSince Oct 1, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Fairhill Family Medicine Specialists, LLC Family Medicine PastSince Sep 1, 2020 Accepting new patients

Locations

361 Fair Hill Dr
Elkton, MD 21921
Phone (410) 620-7260

101 Colonial Way
Ste B
Rising Sun, MD 21911
Phone (410) 658-0963

120 Ryan Dr
Rising Sun, MD 21911
Phone (410) 658-1300

Interoperability endpoints

  • Direct secure messaging: robert.wolf@259802931462148.direct.elationemr.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.

Hospital & facility affiliations 5

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1215925235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 COLONIAL WAY STE B",
            "city": "RISING SUN",
            "state": "MD",
            "postal_code": "219112272",
            "telephone_number": "443-485-9116",
            "fax_number": "877-426-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 COLONIAL WAY STE B",
            "city": "RISING SUN",
            "state": "MD",
            "postal_code": "219112272",
            "telephone_number": "443-485-9116",
            "fax_number": "877-426-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "ROBERT",
        "middle_name": "JORDAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0066323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rising Sun, MD

Sources for this page

Verify at the official NPI Registry.