Individual provider Active NPI

Kurt Emil Wehberg, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Millsboro, DE
National Provider Identifier
1275507535
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
D46536 Issued in MD
Practice address
30265 Commerce Dr Unit 103
Millsboro, DE 19966-3594
Phone
(302) 934-6514
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X D46536 MD Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X C1-0009 DE

Addresses

Primary practice location

30265 Commerce Dr Unit 103
Millsboro, DE 19966-3594

Mailing address

100 E Carroll St
Salisbury, MD 21801-5422
Phone (410) 546-6400

Other practice location 1

100 E Carroll St
Salisbury, MD 21801-5422
Phone (410) 546-1353

Other identifiers 1

IdentifierTypeStateIssuer
231431200MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100122000523 MD Practitioner - Thoracic Surgery 0244372613 Reassigns benefits to 2 organizations
I20180821003733 DE Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 0244372613 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery
Education
Eastern Virginia Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tidalhealth Physician Network, Inc.Group PAC ID 7315901253, 115 clinicians
Tidalhealth Specialty Care LLCGroup PAC ID 7113340845, 375 clinicians

Practice addresses (Care Compare)

Seaford, DE 19973
Phone 30262966118802

100 E Carroll St
Salisbury, MD 21801-5422
Phone (410) 912-4976

200 Federal St
Seaford, DE 19973-5764
Phone (410) 912-4976

30265 Commerce Dr
Millsboro, DE 19966-3594

801 Middleford Rd
Seaford, DE 19973-3636

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0009DEMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tidalhealth Peninsula Regional, Inc. CurrentSince Jul 1, 2010 Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Jul 1, 2021 Accepting new patients
Tidalhealth Peninsula Regional, Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) Current Accepting new patients
Tidalhealth Physician Network, Inc. CurrentSince Dec 7, 2021 Accepting new patients
Tidalhealth Peninsula Regional, Inc. CurrentSince Jul 1, 2010 Accepting new patients
Tidalhealth Nanticoke, Inc Past Accepting new patients
Tidalhealth Specialty Care, LLC Past Accepting new patients

Locations

1515 Savannah Rd
Lewes, DE 19958

30265 Commerce Dr
Unit 103
Millsboro, DE 19966
Phone (302) 297-2598

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

200 Federal St
Seaford, DE 19973
Phone (302) 629-9099

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

106 Milford St
Ste 201
Salisbury, MD 21804
Phone (410) 543-1616

145 E Carroll St
Salisbury, MD 21801
Phone (410) 546-6400

100 E Carroll St
Fl 3
Salisbury, MD 21801
Phone (301) 546-1353

Organizations & group practices 7

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 8

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1275507535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015422",
            "telephone_number": "410-546-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30265 COMMERCE DR UNIT 103",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199663594",
            "telephone_number": "302-934-6514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Carroll St",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218015422",
            "country_code": "US",
            "telephone_number": "410-546-1353",
            "fax_number": "410-543-8360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEHBERG",
        "first_name": "KURT",
        "middle_name": "EMIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MD",
            "license": "D46536",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "DE",
            "license": "C1-0009",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231431200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millsboro, DE

Sources for this page

Verify at the official NPI Registry.