Active NPI
Shannon Marie Wentworth, MD
- Obstetrics & Gynecology Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD210002010
- Practice address
- 2041 Georgia Avenue NW
First Floor, Suite B
Washington, DC 20060-2006 - Phone
- (202) 865-6679
- NPI assigned
- Mar 30, 2018
- Last updated
- Mar 13, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD210002010 | DC | Primary |
Addresses
Primary practice location
2041 Georgia Avenue NW
First Floor, Suite B
Washington, DC 20060-2006
Mailing address
2041 Georgia Avenue NW, Suite 3400
Howard University Faculty Practice Plan
Washington, DC 20060-1502
Phone (202) 865-6679
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of South Carolina School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2041 Georgia NW Ave
Washington, DC 20060-0001
Phone (202) 865-6679
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Howard University | Obstetrics & Gynecology | Current | Accepting new patients |
| Howard University | Past | Accepting new patients | |
| Howard University Hospital Corp | Past | Accepting new patients |
Locations
2041 Georgia Ave NW
Washington, DC 20060
Phone (202) 865-3785
2041 Georgia Ave NW
Fl First
Washington, DC 20060
Phone (202) 588-1792
2041 Georgia Ave NW
Ste 3400
Washington, DC 20060
Phone (202) 865-1164
4414 Benning Rd NE
Fl 2
Washington, DC 20019
Phone (202) 865-2120
2101 Medical Park Dr
Ste 305
Silver Spring, MD 20902
Phone (301) 754-0833
Interoperability endpoints
- shannonwentworth@hufp.allscriptsdirect.net
Organizations & group practices 3
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.
-
dba Faculty Practice Plan Howard University
- Multi-Specialty Clinic/Center
- Washington, DC
- NPI 1033163597
Obstetrics & Gynecology
-
dba Howard University Faculty Practice Plan
- Multi-Specialty Clinic/Center
- Washington, DC
- NPI 1215582978
-
- General Acute Care Hospital
- Washington, DC
- NPI 1487740957
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Washington, DC
- NPI 1487740957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678665600000",
"number": "1447756416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2041 GEORGIA AVENUE NW, SUITE 3400",
"address_2": "HOWARD UNIVERSITY FACULTY PRACTICE PLAN",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200601502",
"telephone_number": "202-865-6679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2041 GEORGIA AVENUE NW",
"address_2": "FIRST FLOOR, SUITE B",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200602006",
"telephone_number": "202-865-6679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENTWORTH",
"first_name": "SHANNON",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-30",
"last_updated": "2023-03-13",
"certification_date": "2023-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "DC",
"license": "MD210002010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.