David Richard Wyndhamsmith, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G72018 Issued in CA

Practice address

1509 Wilson Ter
Glendale, CA 91206-4007

Phone

(818) 409-8000

Fax

(818) 546-5632

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

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

Anesthesiology

Education

University of Southern California Keck School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Glendale Adventist Medical CenterGroup PAC ID 4284692096, 99 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239

Merit-based Incentive Payment System (MIPS)

Final score

85.77 of 100Reported as group

Quality

78.77

Promoting interoperability

92

Improvement activities

40

Cost

48

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Glendale Adventist Medical Center

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1831188275
  Medicare reassignment Care Compare group NPD
• Buena Vista Anesthesia Medical Group

  • Anesthesiology Physician
  • Burbank, CA
  • NPI 1366462293
  Medicare reassignment NPD
• Consultants for Anesthesia & Management of Pain

  • Anesthesiology Physician
  • Glendale, CA
  • NPI 1952323909
  Medicare reassignment NPD
• White Memorial Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1215927470
  Medicare reassignment NPD
• Glendale Adventist Medical Center

  • Psychiatric Hospital Unit
  • Glendale, CA
  • NPI 1336138403
  NPD
• David R. Wyndhamsmith, a Professional Dental Corporation

  • Endodontics
  • Pasadena, CA
  • NPI 1508088675
  NPD (past)
• David R. Wyndhamsmith, a Professional Dental Corporation

  • General Practice Dentistry
  • Pasadena, CA
  • NPI 1881816957
  NPD (past)

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

• Glendale Adventist Medical Center

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1831188275
  Care Compare affiliation

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1407879596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60790",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911166790",
            "telephone_number": "626-204-6747",
            "fax_number": "626-396-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 WILSON TER",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064007",
            "telephone_number": "818-409-8000",
            "fax_number": "818-546-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNDHAMSMITH",
        "first_name": "DAVID",
        "middle_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G72018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G720180",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G720181",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Chouming Wu, MD
• Julie Wu
• Rachel Chingyin Wu, O.D.
• Sandy Wu, OTR/L
• Mia Marie Wyatt
• X Backhand Inc Dba Serenity Luxe
• Xclusive Health Medical Group
• Xclusive Healthcare Group
• Xclusive Hospice Care, Inc.
• Hui Xu, FNP-BC

• Anesthesiology Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.