Individual provider Active NPI

Shawn Michael Tweedt, D.O.

  • Surgery Physician
  • Olney, MD
National Provider Identifier
1497746275
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
H0063192 Issued in MD
Practice address
18109 Prince Philip Dr Ste B100
Olney, MD 20832-1607
Phone
(301) 774-8962
Fax
(855) 778-6897
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X H0063192 MD Primary

Addresses

Primary practice location

18109 Prince Philip Dr Ste B100
Olney, MD 20832-1607

Mailing address

18109 Prince Philip Dr Ste B100
Olney, MD 20832-1607
Phone (301) 774-8962

Other identifiers 1

IdentifierTypeStateIssuer
003488600MedicaidMD

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
I20051005000932 DC Practitioner - General Surgery 5890729669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Philadelphia College of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

18101 Prince Philip Dr
Olney, MD 20832-1514
Phone (301) 570-7404

18105 Prince Philip Dr
Olney, MD 20832-1514
Phone (301) 774-8962

7503 Surratts Rd
Clinton, MD 20735-3358
Phone (301) 868-8000

Hospital & facility affiliations

  • Medstar Montgomery Medical Center Hospital, Olney, MD, CCN 210018

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)41
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0063192MDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Apr 1, 2019 Accepting new patients
Medstar Medical Group II LLC CurrentSince Apr 1, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Medstar Physician Partners, Inc Past Accepting new patients
Montgomery Surgical Associates, LLC Surgery PastSince Jun 20, 2005 Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

1145 19th St NW
Ste 700
Washington, DC 20036
Phone (202) 223-5333

18109 Prince Philip Dr
Ste B200
Olney, MD 20832
Phone (301) 260-3280

18111 Prince Philip Dr
#B200
Olney, MD 20832

18109 Prince Philip Dr
Ste B100
Olney, MD 20832
Phone (301) 774-8820

18111 Prince Philip Dr
Ste T12
Olney, MD 20832
Phone (301) 570-7770

Organizations & group practices 5

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1497746275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18109 PRINCE PHILIP DR STE B100",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321607",
            "telephone_number": "301-774-8962",
            "fax_number": "855-778-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18109 PRINCE PHILIP DR STE B100",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321607",
            "telephone_number": "301-774-8962",
            "fax_number": "855-778-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWEEDT",
        "first_name": "SHAWN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "H0063192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003488600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, MD

Sources for this page

Verify at the official NPI Registry.