NPIMap

Individual provider Active NPI

David Michael Wanalista, D.O.

  • Rheumatology Physician
  • Berlin, MD
National Provider Identifier
1497789077
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
25MB07794500 Issued in NJ
Practice address
10231 Old Ocean City Blvd
Suite 210
Berlin, MD 21811
Phone
(410) 641-9482
Fax
(410) 641-9516
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 25MB07794500 NJ Primary

Addresses

Primary practice location

10231 Old Ocean City Blvd
Suite 210
Berlin, MD 21811

Mailing address

9733 Healthway Drive
Berlin, MD 21811
Phone (856) 691-8444

Other identifiers 1

IdentifierTypeStateIssuer
193571200MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181128002796 MD Practitioner - RheumatologyPractitioner - Internal Medicine 8022075589 Reassigns benefits to 3 organizations
I20190102000179 DE Practitioner - RheumatologyPractitioner - Internal Medicine 8022075589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Philadelphia College of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tidalhealth Specialty Care LLCGroup PAC ID 7113340845, 375 clinicians
Tidalhealth Atlantic IncGroup PAC ID 2365437837, 95 clinicians

Practice addresses (Care Compare)

100 E Carroll St
Salisbury, MD 21801-5422

10231 Old Ocean City Blvd
Suite 208
Berlin, MD 21811-3568
Phone (410) 641-9482

200 Federal St
Seaford, DE 19973-5764
Phone (410) 912-4976

38394 Dupont Blvd
Unit H
Selbyville, DE 19975-3049
Phone (302) 524-5007

96 Atlantic Ave
Suite 101
Ocean View, DE 19970-9103
Phone (302) 541-4460

Hospital & facility affiliations

  • Atlantic General Hospital Hospital, Berlin, MD, CCN 210061
  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019
  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007
  • Tidalhealth Nanticoke, Inc. Hospital, Seaford, DE, CCN 080006
  • Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009

Merit-based Incentive Payment System (MIPS)

Final score
82.2 of 100Reported as group
Quality
70.92
Promoting interoperability
98
Improvement activities
40
Cost
71.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tidalhealth Primary Care, LLC CurrentSince Mar 1, 2026 Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Mar 1, 2026 Accepting new patients
Atlantic General Hospital Corporation CurrentSince Oct 29, 2018 Accepting new patients
Tidalhealth Atlantic, Inc. CurrentSince Oct 29, 2018 Accepting new patients
Atlantic General Hospital Corp CurrentSince Oct 29, 2018 Accepting new patients
Atlantic Immedicare LLC Past Accepting new patients
Marianne J. Santioni, D.O., PC Rheumatology Past Accepting new patients
Dendrinos Medical Associates, P.a. Past Accepting new patients

Locations

96 Atlantic Ave
Ste 101
Ocean View, DE 19970
Phone (302) 541-4460

38394 DuPont Blvd
Unit H
Selbyville, DE 19975
Phone (302) 524-5007

9714 Healthway Dr
Berlin, MD 21811
Phone (410) 641-2600

10231 Old Ocean City Blvd
Ste 208
Berlin, MD 21811
Phone (240) 616-6006

10026 Old Ocean City Blvd
Ste 1
Berlin, MD 21811

9733 Healthway Dr
Berlin, MD 21811
Phone (410) 641-1100

10231 Old Ocean City Blvd
Ste 210
Berlin, MD 21811
Phone (410) 629-6870

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

6040 Public Landing Rd
Snow Hill, MD 21863
Phone (410) 629-0041

Interoperability endpoints

  • Direct secure messaging: davidwanalista@agh.allscriptsdirect.net

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 5

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1497789077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9733 HEALTHWAY DRIVE",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "21811",
            "telephone_number": "856-691-8444",
            "fax_number": "856-691-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10231 OLD OCEAN CITY BLVD",
            "address_2": "SUITE 210",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "21811",
            "telephone_number": "410-641-9482",
            "fax_number": "410-641-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANALISTA",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NJ",
            "license": "25MB07794500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193571200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, MD

Sources for this page

Verify at the official NPI Registry.