Edward J Wolf, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

D0029606 Issued in MD

Practice address

1838 Greene Tree Rd
Suite 400
Baltimore, MD 21208-6391

Phone

(410) 602-7782

Fax

(410) 602-2438

NPI assigned

Aug 31, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Gastroenterology

Education

State University of Ny Upstate Medical University, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lifebridge Community Gastroenterology LLCGroup PAC ID 7618108119, 54 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Hospital Center Hospital, Randallstown, MD, CCN 210040

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ewolf24488@direct.umm.edu
• Direct secure messaging: ewolf1133916@direct.hopkinsmedicine.org

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.

• Lifebridge Community Gastroenterology, LLC

  • Gastroenterology Physician
  • Pikesville, MD
  • NPI 1033558416
  Medicare reassignment Care Compare group NPD
• Endocentre at Quarterfield Station

  • Endoscopy Clinic/Center
  • Glen Burnie, MD
  • NPI 1396798930
  NPD (past) Authorized official
• Dr Wendy Kloesz, M.D., P.a

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1144472887
  NPD
• Pikesville MD Endoscopy ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Baltimore, MD
  • NPI 1043497019
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northwest Hospital Center, Inc.

  • General Acute Care Hospital
  • Randallstown, MD
  • NPI 1487695888
  Care Compare affiliation

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1316931728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64589",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644589",
            "telephone_number": "410-602-7782",
            "fax_number": "410-602-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD",
            "address_2": "SUITE 400",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212086391",
            "telephone_number": "410-602-7782",
            "fax_number": "410-602-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "EDWARD",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0029606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "395401300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gizaw Haile Woldehiwot, MD
• Bethel Woldu, M.D.
• Alexis Wolf
• Anita C Wolf, P.A.
• David Scott Wolf, M.D., PH.D.
• Emily F Wolf, PA
• Gideon Wolf, MD
• Hilary Tamara Wolf, MD
• Jaimie R Wolf
• James S Wolf, M.D.

• Specialist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.