Individual provider Active NPI

Shannon Marie Wentworth, MD

  • Obstetrics & Gynecology Physician
  • Washington, DC
National Provider Identifier
1447756416
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD210002010 Issued in DC
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220725001488 DC Practitioner - Obstetrics/Gynecology 5496006769 Reassigns benefits to 1 organization

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
Howard UniversityGroup PAC ID 0941109565, 182 clinicians

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

OrganizationSpecialtyStatusNew patients
Howard University Obstetrics & Gynecology CurrentSince Jun 6, 2022 Accepting new patients
Howard University PastSince Jun 15, 2025 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.