Individual provider Active NPI

David Ira Wartenberg, MD

  • Family Medicine Physician
  • Rockville, MD
National Provider Identifier
1447293386
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0097763 Issued in MD
Practice address
726 Rockville Pike
Rockville, MD 20852-1133
Phone
(240) 238-0411
NPI assigned
Jun 14, 2006
Last updated
Jan 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 308182 LA
Family Medicine Physician 207Q00000X ME65202 FL
Family Medicine Physician 207Q00000X D0097763 MD Primary

Addresses

Primary practice location

726 Rockville Pike
Rockville, MD 20852-1133

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263

Other practice location 1

6835 Austin Center Blvd
Austin, TX 78731-3166
Phone (850) 588-3589

Other identifiers 2

IdentifierTypeStateIssuer
2525941-00MedicaidFL
2470663MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MDExchange@patientfirstclinics.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 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
I20240118003067 DC Practitioner - Family Practice 2264484153 Reassigns benefits to 3 organizations
I20240118003336 MD Practitioner - Family Practice 2264484153 Reassigns benefits to 1 organization
I20241010002514 VA Practitioner - Family Practice 2264484153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6311 Richmond Hwy
Alexandria, VA 22306-6410
Phone (703) 647-6087

726 Rockville Pike
Rockville, MD 20852-1133
Phone (240) 238-0411

8110 Midlothian Tpke
North Chesterfield, VA 23235-5116
Phone (804) 320-8160

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
308182LAMDFamily Medicine Physician
D0097763MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Maryland Medical Group PLLC Family Medicine CurrentSince Dec 11, 2023 Accepting new patients
Patient First Maryland Medical Group PLLC Family Medicine CurrentSince Dec 11, 2023 Accepting new patients
Patient First Maryland Medical Group PLLC Family Medicine CurrentSince Dec 11, 2023 Accepting new patients
Patient First Richmond Medical Group PLLC Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Patient First Richmond Medical Group PLLC Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Apr 23, 2024 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Apr 23, 2024 Accepting new patients
Patient First Maryland Medical Group, PLLC Family Medicine Current Accepting new patients
Microspine Physicians Group LLC Past Accepting new patients
Anesthesia Inc PastSince Dec 1, 2012 Accepting new patients
Coastal Care Medical Center Inc Family Medicine Past Accepting new patients

Locations

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

10210 Reisterstown Rd
Owings Mills, MD 21117
Phone (410) 902-6776

726 Rockville Pike
Rockville, MD 20852
Phone (240) 238-0411

2855 Crain Hwy
Waldorf, MD 20601
Phone (240) 427-1926

6311 Richmond Hwy
Alexandria, VA 22306
Phone (703) 647-6087

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

601 Potomac Station Dr NE
Leesburg, VA 20176
Phone (703) 840-1396

8110 Midlothian Tpke
North Chesterfield, VA 23235
Phone (804) 320-8160

Interoperability endpoints

  • Direct secure messaging: dwartenberg160467@direct.aahs.org
  • Direct secure messaging: mdexchange@patientfirstclinics.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1447293386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 ROCKVILLE PIKE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521133",
            "telephone_number": "240-238-0411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6835 Austin Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787313166",
            "country_code": "US",
            "telephone_number": "850-588-3589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARTENBERG",
        "first_name": "DAVID",
        "middle_name": "IRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "308182",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME65202",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0097763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2525941-00",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2470663",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MDExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "726 Rockville Pike",
            "city": "Rockville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208521133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.