NPIMap

Individual provider Active NPI

Karen Marie Wanersdorfer, DO

  • Surgery Physician
  • Washington, DC
National Provider Identifier
1508270224
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DO034875 Issued in DC
Practice address
2150 Pennsylvania Ave NW
6TH Floor, Dept of Surgery
Washington, DC 20037-3133
Phone
(202) 677-6219
NPI assigned
Jun 20, 2014
Last updated
Oct 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X UO3530 FL
Surgery Physician 208600000X 0102206202 VA
Surgery Physician 208600000X DO034875 DC Primary

Addresses

Primary practice location

2150 Pennsylvania Ave NW
6TH Floor, Dept of Surgery
Washington, DC 20037-3133

Mailing address

2150 Pennsylvania Ave NW
6TH Floor, Dept of Surgery
Washington, DC 20037-3133
Phone (202) 677-6219

Other practice location 1

201 14th St SW
Largo, FL 33770-3133
Phone (727) 588-5704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, CO2 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
I20201109002269 DC Practitioner - General Surgery 7719295179 Reassigns benefits to 1 organization
I20230519000518 CO Practitioner - General Surgery 7719295179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Rocky Vista University College of Osteopathic Med, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14300 Orchard Pkwy
Suite 200
Westminster, CO 80023-9206
Phone (720) 523-1174

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UO3530FLMDFamily Medicine Physician
DO034875DCMDSurgery Physician
0102206202VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Faculty Associates, Inc Surgery CurrentSince Oct 30, 2020 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince May 15, 2023 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince May 15, 2023 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients
Acute Care Surgical Affiliates of Texas PA Surgery Past Accepting new patients
Acute Care Surgery of South Dakota PC PastSince Aug 27, 2023 Accepting new patients

Locations

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

11750 W 2nd Pl
Ste 360
Lakewood, CO 80228
Phone (720) 321-8470

2150 Pennsylvania Ave NW
Washington, DC 20037
Phone (202) 741-2222

2150 Pennsylvania Ave NW
Fl 6
Washington, DC 20037
Phone (202) 677-6219

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1508270224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 PENNSYLVANIA AVE NW",
            "address_2": "6TH FLOOR, DEPT OF SURGERY",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200373133",
            "telephone_number": "202-677-6219",
            "fax_number": "727-585-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 PENNSYLVANIA AVE NW",
            "address_2": "6TH FLOOR, DEPT OF SURGERY",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200373133",
            "telephone_number": "202-677-6219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 14th St SW",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337703133",
            "country_code": "US",
            "telephone_number": "727-588-5704",
            "fax_number": "727-585-7205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANERSDORFER",
        "first_name": "KAREN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-20",
        "last_updated": "2020-10-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "UO3530",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0102206202",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "DC",
            "license": "DO034875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.