Individual provider Active NPI

Richard Weidman, M.D.

  • Internal Medicine Physician
  • Gaithersburg, MD
National Provider Identifier
1255454567
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D39096 Issued in MD
Practice address
220 Girard St Ste 100
Gaithersburg, MD 20877
Phone
(301) 215-0880
Fax
(301) 216-2891
NPI assigned
Apr 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD17786 DC
Internal Medicine Physician 207R00000X D39096 MD Primary

Addresses

Primary practice location

220 Girard St Ste 100
Gaithersburg, MD 20877

Mailing address

8630 Fenton St Ste 1204
Silver Spring, MD 20910-3808
Phone (301) 340-7525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20041012000531 DC Practitioner - Internal Medicine 1456311836 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

3007 Tilden St NW
Suite 5N
Washington, DC 20008-3030

3305 N Leisure World Blvd
Medstar Health at Leisure World BLV
Silver Spring, MD 20906-1367
Phone (301) 598-1590

Hospital & facility affiliations

  • Adventist Home Health Services, Inc. Home health agency, Silver Spring, MD, CCN 217032
  • Bayada Home Health Care, Inc Home health agency, Gaithersburg, MD, CCN 217158

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD17786DCMDInternal Medicine Physician
D39096MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elliot R Goldstein MD & Joel R Schulman MD PA CurrentSince Jul 1, 2019 Accepting new patients
Medstar Medical Group II LLC CurrentSince Mar 1, 2025 Accepting new patients
Medstar Medical Group II LLC Internal Medicine CurrentSince Mar 1, 2025 Accepting new patients
Elliot R Goldstein MD & Joel R Schulman MD PA Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Medstar Medical Group II LLC Internal Medicine Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

3800 Reservoir Rd NW
#5E
Washington, DC 20007
Phone (202) 444-2553

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

6000 Executive Blvd
Ste 300
Rockville, MD 20852
Phone (301) 468-8999

3305 N Leisure World Blvd
Silver Spring, MD 20906
Phone (301) 598-1011

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1255454567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8630 FENTON ST STE 1204",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103808",
            "telephone_number": "301-340-7525",
            "fax_number": "301-495-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 GIRARD ST STE 100",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "20877",
            "telephone_number": "301-215-0880",
            "fax_number": "301-216-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDMAN",
        "first_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD17786",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D39096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.