David Earl Wellenstein, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

132617 Issued in NY

Practice address

185 Genesee St
Suite 600
Utica, NY 13501-2199

Phone

(315) 793-8806

Fax

(315) 793-8046

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Cmi Professional Services

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Utica, NY
  • NPI 1790701167
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1497763940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 GENESEE ST",
            "address_2": "SUITE 600",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135012199",
            "telephone_number": "315-793-8806",
            "fax_number": "315-793-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 GENESEE ST",
            "address_2": "SUITE 600",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135012199",
            "telephone_number": "315-793-8806",
            "fax_number": "315-793-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLENSTEIN",
        "first_name": "DAVID",
        "middle_name": "EARL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "132617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "300029077",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "225159",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00751524",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "P010149411",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10043865",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "4102251",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "040426013871",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Weigand
• Stanley Weiselberg, M.D.
• Leah Wildenger Welchons, PH.D.
• Kathleen Weldon
• Erin Wellenstein Smith, PA
• Katherine Mary Weller
• Shawn Thomas Wellington-Norton
• Wellness Psychological Services, P.C.
• Shelley R Wells-Courter, LMSW
• Sydney Wells, LMSW

• Diagnostic Radiology Physician in Utica, NY
• Providers in Utica, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.