Active NPI
Shawn Michael Tweedt, D.O.
- Surgery Physician
- Olney, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- H0063192
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003488600 | 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
- General Surgery
- Education
- Philadelphia College of Osteopathic Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.34 of 100
- Quality
- 67.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.47
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 41 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H0063192 | MD | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Medstar Physician Partners, Inc | Past | Accepting new patients | |
| Montgomery Surgical Associates, LLC | Surgery | Past | 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.
-
- Surgery Physician
- Olney, MD
- NPI 1609833789
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1477503118
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Olney, MD
- NPI 1114922341
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.