Individual provider Active NPI

Sean Michael Dwyer, M.D.

  • Cardiovascular Disease Physician
  • Chevy Chase, MD
National Provider Identifier
1346248044
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D25818 Issued in MD
Practice address
5454 Wisconsin Ave
Suite 925
Chevy Chase, MD 20815-6901
Phone
(301) 657-1682
Fax
(301) 951-8036
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D25818 MD Primary

Addresses

Primary practice location

5454 Wisconsin Ave
Suite 925
Chevy Chase, MD 20815-6901

Mailing address

5454 Wisconsin Ave
Suite 925
Chevy Chase, MD 20815-6901
Phone (301) 657-1682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040515000340 DC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6901896521 Reassigns benefits to 1 organization
I20221209000137 VT Practitioner - Internal Medicine 6901896521 Reassigns benefits to 1 organization
I20240201003738 VT Practitioner - Cardiovascular Disease (Cardiology) 6901896521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Georgetown University School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwestern Vermont Medical Center, IncGroup PAC ID 0143138446, shared by 3 NPIs, 174 clinicians

Practice addresses (Care Compare)

100 Hospital Dr
Bennington, VT 05201-5004
Phone (802) 442-6361

140 Hospital Dr
Suite 211
Bennington, VT 05201-5015
Phone (802) 442-0800

Hospital & facility affiliations

  • Southwestern Vermont Medical Center Hospital, Bennington, VT, CCN 470012

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Vermont Medical Center Inc. Cardiovascular Disease CurrentSince Jan 1, 2023 Accepting new patients
Cardiology & Internal Medicine, PA CurrentSince Dec 28, 1982 Accepting new patients
Southwestern Vermont Medical Center Inc. CurrentSince Jan 1, 2023 Accepting new patients
Medical Faculty Associates, Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5454 Wisconsin Ave
Ste 925
Chevy Chase, MD 20815
Phone (301) 656-9070

5530 Wisconsin Ave
Ste 1100
Chevy Chase, MD 20815
Phone (301) 656-9070

140 Hospital Dr
Ste 116
Bennington, VT 05201
Phone (802) 447-1836

100 Hospital Dr
#44
Bennington, VT 05201
Phone (802) 442-4509

120 Hospital Dr
Bennington, VT 05201
Phone (802) 440-4077

100 Hospital Dr
Bennington, VT 05201
Phone (802) 447-4509

140 Hospital Dr
Ste 211
Bennington, VT 05201
Phone (802) 442-0800

Interoperability endpoints

  • Direct secure messaging: seandwyer@cimpa.allscriptsdirect.net
  • Direct secure messaging: sean.dwyer.1@3744.direct.athenahealth.com

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 1

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1346248044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVE",
            "address_2": "SUITE 925",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156901",
            "telephone_number": "301-657-1682",
            "fax_number": "301-951-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVE",
            "address_2": "SUITE 925",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156901",
            "telephone_number": "301-657-1682",
            "fax_number": "301-951-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWYER",
        "first_name": "SEAN",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D25818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.