Individual provider Active NPI

David Matthew Wendt, MD

  • Family Medicine Physician
  • Rocky River, OH
National Provider Identifier
1508836016
Registry record updated Jun 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35080324 Issued in OH
Practice address
19234 Detroit Rd
Rocky River, OH 44116-1706
Phone
(440) 356-3640
Fax
(440) 356-3729
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35080324 OH Primary

Addresses

Primary practice location

19234 Detroit Rd
Rocky River, OH 44116-1706

Mailing address

19234 Detroit Rd
Rocky River, OH 44116-1706
Phone (440) 356-3640

Other identifiers 7

IdentifierTypeStateIssuer
000000232253OtherOHANTHEM
080189174OtherRAILROAD MEDICARE
P00706005OtherOHRRCARE
2338983MedicaidOH
C80324OtherNDSUMMA
000000540966OtherOHANTHEM /ROCKY RIVER
P00613207OtherOHRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050308001212 OH Practitioner - Family Practice 2961456322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

14601 Detroit Ave
Lakewood, OH 44107-4205

5334 Meador Lane CT
Sheffield Village, OH 44035-1469

5700 Cooper Foster Park Rd W
Lorain, OH 44053-4152
Phone (440) 204-7400

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

  • Elara Caring Home health agency, Mentor, OH, CCN 367173
  • Cleveland Clinic Home Care Home health agency, Independence, OH, CCN 367142
  • Abc of Greater Cleveland, Inc Home health agency, Grafton, OH, CCN 368384
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Cleveland Clinic Avon Hospital Hospital, Avon, OH, CCN 360364
  • Fairview Hospital Hospital, Cleveland, OH, CCN 360077

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35080324OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
The Cleveland Clinic Foundation CurrentSince Feb 4, 2017 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Lakewood Hospital Association Past Accepting new patients
North Ohio Heart Center Inc Family Medicine Past Accepting new patients
Lakewood Hospital Association Family Medicine Past Accepting new patients

Locations

36901 American Way
Avon, OH 44011
Phone (440) 930-6200

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

14601 Detroit Ave
Lakewood, OH 44107
Phone (216) 237-5500

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

5334 Meadow Lane Ct
Sheffield Village, OH 44035
Phone (440) 934-5454

850 Columbia Rd
Ste 105
Westlake, OH 44145
Phone (440) 250-5737

Interoperability endpoints

  • Direct secure messaging: dwendt93463@direct.ccf.org

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245974400000",
    "number": "1508836016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19234 DETROIT RD",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441161706",
            "telephone_number": "440-356-3640",
            "fax_number": "440-356-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19234 DETROIT RD",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441161706",
            "telephone_number": "440-356-3640",
            "fax_number": "440-356-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDT",
        "first_name": "DAVID",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2009-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35080324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000232253",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080189174",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRCARE",
            "identifier": "P00706005",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2338983",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMMA",
            "identifier": "C80324",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM /ROCKY RIVER",
            "identifier": "000000540966",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00613207",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

Verify at the official NPI Registry.