Individual provider Active NPI

John J Wroblewski, MD

  • Ophthalmology Physician
  • Hagerstown, MD
National Provider Identifier
1477521334
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0050019 Issued in MD
Practice address
1800 Dual Hwy Ste 201
Hagerstown, MD 21740-6636
Phone
(301) 665-1712
Fax
(301) 665-1714
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD059877L PA
Ophthalmology Physician 207W00000X MD2014-0756 NM
Retina Specialist (Ophthalmology) Physician 207WX0107X MD2014-0756 NM
Retina Specialist (Ophthalmology) Physician 207WX0107X D0050019 MD
Retina Specialist (Ophthalmology) Physician 207WX0107X MD059877L PA
Ophthalmology Physician 207W00000X D0050019 MD Primary

Addresses

Primary practice location

1800 Dual Hwy Ste 201
Hagerstown, MD 21740-6636

Mailing address

1800 Dual Hwy Ste 201
Hagerstown, MD 21740-6636
Phone (301) 665-1712

Other practice location 1

414 Epic Dr
Chambersburg, PA 17201-2887
Phone (301) 665-1712

Other practice location 2

1150 Opal Ct
Hagerstown, MD 21740-5940
Phone (301) 665-1712

Other identifiers 2

IdentifierTypeStateIssuer
0015648410003MedicaidPA
994400100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD2 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
I20100805000903 PA Practitioner - Ophthalmology 8022017920 Reassigns benefits to 1 organization
I20100810000479 MD Practitioner - Ophthalmology 8022017920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Georgetown University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cumberland Valley Retina Consultants PCGroup PAC ID 4688612591, 5 clinicians

Practice addresses (Care Compare)

1800 Dual Hwy
Suite 201
Hagerstown, MD 21740-6636
Phone 30166517121027

414 Epic Dr
Chambersburg
Chambersburg, PA 17201-2887
Phone (717) 263-6857

Hospital & facility affiliations

  • Meritus Medical Center Hospital, Hagerstown, MD, CCN 210001

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2014-0756NMMDRetina Specialist (Ophthalmology) Physician
MD059877LPAMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Valley Retina Consultants PC Ophthalmology CurrentSince Jan 1, 1996 Accepting new patients
Cumberland Valley Retina Consultants Retina Specialist Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Cumberland Valley Retina Consultants Retina Specialist Past Accepting new patients
Cumberland Valley Retina Consultants PC Retina Specialist Past Accepting new patients
Cumberland Valley Retina Consultants PC Retina Specialist PastSince May 18, 2025 Accepting new patients
Cumberland Valley Retina Consultants Retina Specialist Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Cumberland Valley Retina Consultants PC Retina Specialist Past Accepting new patients

Locations

1800 Dual Hwy
Ste 201
Hagerstown, MD 21740
Phone 30166517121027

1150 Opal Ct
Hagerstown, MD 21740
Phone 3016651712202

414 Epic Dr
Chambersburg, PA 17201
Phone (717) 263-6857

20 Expedition Trl
Ste 110B
Gettysburg, PA 17325
Phone (717) 339-0700

Interoperability endpoints

  • Direct secure messaging: jwroblewski@cvrc.intellechartdirect.net

Organizations & group practices 9

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1477521334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 DUAL HWY STE 201",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406636",
            "telephone_number": "301-665-1712",
            "fax_number": "301-665-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 DUAL HWY STE 201",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406636",
            "telephone_number": "301-665-1712",
            "fax_number": "301-665-1714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "414 Epic Dr",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172012887",
            "country_code": "US",
            "telephone_number": "301-665-1712",
            "fax_number": "301-665-1614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 Opal Ct",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217405940",
            "country_code": "US",
            "telephone_number": "301-665-1712",
            "fax_number": "301-665-1714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WROBLEWSKI",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD059877L",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "MD2014-0756",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NM",
            "license": "MD2014-0756",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MD",
            "license": "D0050019",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "PA",
            "license": "MD059877L",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0050019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015648410003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "994400100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.