Individual provider Active NPI

Irving D Wolfe, MD,PA

  • Dermatology Physician
  • Owings Mills, MD
National Provider Identifier
1508832346
Registry record updated Oct 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D0013871 Issued in MD
Practice address
21 Crossroads Dr
#255
Owings Mills, MD 21117
Phone
(410) 363-2320
Fax
(410) 363-8475
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D0013871 MD Primary

Addresses

Primary practice location

21 Crossroads Dr
#255
Owings Mills, MD 21117

Mailing address

21 Crossroads Dr
#255
Owings Mills, MD 21117
Phone (410) 363-2320

Other identifiers 1

IdentifierTypeStateIssuer
417511500MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20101022000720 MD Practitioner - Dermatology 9133312143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
89.52 of 100Reported as group
Quality
87.67
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Dermatology Partners Inc Dermatology CurrentSince Jun 3, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

21 Crossroads Dr
Ste 255
Owings Mills, MD 21117
Phone (410) 363-2320

10 Fila Way
Ste 205
Sparks Glencoe, MD 21152
Phone (410) 223-2620

258 Ben Franklin Hwy E
Birdsboro, PA 19508
Phone (610) 288-2918

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286755200000",
    "number": "1508832346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CROSSROADS DR",
            "address_2": "#255",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "21117",
            "telephone_number": "410-363-2320",
            "fax_number": "410-363-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CROSSROADS DR",
            "address_2": "#255",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "21117",
            "telephone_number": "410-363-2320",
            "fax_number": "410-363-8475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "IRVING",
        "middle_name": "D",
        "credential": "MD,PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2010-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0013871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "417511500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.