Active NPI
John Wycliff Bedeau, M.D.
- Gastroenterology Physician
- Largo, MD
National Provider Identifier
1487646154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- D30666
- Practice address
- 9301 Largo Drive West
Suite 201
Largo, MD 20774-4884 - Phone
- (301) 350-8722
- Fax
- (301) 350-8822
- NPI assigned
- Aug 18, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | D30666 | MD | Primary |
Addresses
Primary practice location
9301 Largo Drive West
Suite 201
Largo, MD 20774-4884
Mailing address
9301 Largo Dr W Ste 201
Largo, MD 20774-4884
Phone (301) 350-8722
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025110100 | Medicaid | DC | |
| 37808-1300 | Medicaid | MD |
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
- Gastroenterology
- Education
- Other, 1979
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
9301 Largo Dr W
Suite 201
Largo, MD 20774-4884
Phone (301) 350-8722
Hospital & facility affiliations
- Luminis Health Doctors Community Medical Ctr, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 171 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 70 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D30666 | MD | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John W Bedeau, MD PC | Gastroenterology | Current | Accepting new patients |
| East Coast Gastroenterology LLC | Gastroenterology | Past | Accepting new patients |
| Rockville Ambulatory Surgery, LP | Past | Accepting new patients |
Locations
9301 Largo Dr W
Ste 201
Largo, MD 20774
Phone (301) 350-8722
Interoperability endpoints
- jbedeau801426@direct.umm.edu
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 and National Provider Directory roles.
-
- Gastroenterology Physician
- Largo, MD
- NPI 1992998975
-
- Ambulatory Surgical Clinic/Center
- Rockville, MD
- NPI 1225128424
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lanham, MD
- NPI 1730136532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776297600000",
"number": "1487646154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9301 LARGO DR W STE 201",
"city": "LARGO",
"state": "MD",
"postal_code": "207744884",
"telephone_number": "301-350-8722",
"fax_number": "301-350-8822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9301 LARGO DRIVE WEST",
"address_2": "SUITE 201",
"city": "LARGO",
"state": "MD",
"postal_code": "207744884",
"telephone_number": "301-350-8722",
"fax_number": "301-350-8822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDEAU",
"first_name": "JOHN",
"middle_name": "WYCLIFF",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-18",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MD",
"license": "D30666",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "025110100",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "37808-1300",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Largo, MD
- Bayside Christian Counseling and Consulting, LLC
- Be Healthy by Nature
- Brooke Janet Beander, MSW, LICSW, LCSW-C
- Beauty Counseling and Wellness
- Because We Care Counseling Services
- Behavioral Health-Prince Georges Health
- Luis Roberto Bejar Saona, MD
- Tarek Ahmed Awad Belal, MD
- Tanya Bender Henderson, PHD
- Benew a Professional LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.