Individual provider Active NPI

James Edward Wiseman, M.D.

  • Surgery Physician
  • Columbia, MD
National Provider Identifier
1346421930
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D92452 Issued in MD
Practice address
11085 Little Patuxent Pkwy Ste 103
Columbia, MD 21044-2914
Phone
(410) 730-1988
NPI assigned
Nov 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 47272 AZ
Surgery Physician 208600000X D92452 MD Primary

Addresses

Primary practice location

11085 Little Patuxent Pkwy Ste 103
Columbia, MD 21044-2914

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (410) 933-6423

Other practice location 1

1712 W Anklam Rd
Suite 103
Tucson, AZ 85745-2660
Phone (520) 622-7384

Other identifiers 2

IdentifierTypeStateIssuer
Z175473OtherAZMEDICARE
895706MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20211220002181 MD Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 0143369892 Reassigns benefits to 2 organizations
I20231109003501 DC Practitioner - General Surgery 0143369892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

901 Harry S Truman Dr N
Upper Marlboro, MD 20774-5477
Phone (240) 677-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.64 of 100Reported as group
Quality
88.96
Promoting interoperability
100
Improvement activities
40
Cost
73.82

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dimensions Healthcare Associates, Inc. Current Accepting new patients
Johns Hopkins University CurrentSince Nov 1, 2021 Accepting new patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins University Surgery CurrentSince Nov 1, 2021 Accepting new patients
Dimensions Healthcare Associates Inc CurrentSince Sep 27, 2023 Accepting new patients
Dimensions Health Associates Dba University of Maryland Capital Region CurrentSince Sep 27, 2023 Accepting new patients
Shock Trauma Associates, P.a. CurrentSince Sep 4, 2023 Accepting new patients
Valley ENT, PC Past Accepting new patients
Dimensions Health Corporation Past Accepting new patients
Lpwallmd PC PastSince Dec 15, 2024 Accepting new patients

Locations

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

600 N Wolfe St
Baltimore, MD 21287

2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010

11085 Little Patuxent Pkwy
Ste 103
Columbia, MD 21044
Phone (410) 730-1988

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

901 Harry S Truman Dr N
Uppr Marlboro, MD 20774
Phone (240) 677-0021

Interoperability endpoints

  • Direct secure messaging: jwiseman920795@direct.umm.edu
  • Direct secure messaging: jwiseman870352@direct.hopkinsmedicine.org

Organizations & group practices 10

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": "1195948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1346421930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202004",
            "telephone_number": "410-933-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11085 LITTLE PATUXENT PKWY STE 103",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442914",
            "telephone_number": "410-730-1988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1712 W Anklam Rd",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857452660",
            "country_code": "US",
            "telephone_number": "520-622-7384",
            "fax_number": "520-622-4899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISEMAN",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-25",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "47272",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D92452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Z175473",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "895706",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.