Vanessa Fenner, MD
Individual provider Active NPI Anesthesiology Physician · Wheaton, MD
NPI 1518924372 · NPPES record last updated Oct 24, 2007
Key facts
- NPI
- 1518924372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- D0052841 (MD)
- Practice address
- 2730 University Blvd W
Ste 104
Wheaton, MD 20902-1905 - Phone
- (301) 942-8799
- NPI assigned
- Apr 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 25
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medstar Medical Group II LLC
Practice addresses (Care Compare)
1133 21St St NW
Medstar at Lafayette Centre
Washington, DC 20036-3390
Phone (202) 416-2000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110120000550 | DC | Practitioner - Anesthesiology | 9133222680 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0052841 | MD | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group Anesthesiology LLC | Anesthesiology | Current |
Accepting new patients |
| Medstar Medical Group II LLC | Current |
Accepting new patients | |
| Medstar Medical Group Anesthesiology LLC | Anesthesiology | Current |
Accepting new patients |
| Medstar Medical Group II LLC | Current |
Accepting new patients | |
| Holy Cross Anesthesiology Associate PA | Anesthesiology | Current |
Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
1133 21st St NW
Washington, DC 20036
Phone (202) 223-9040
7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000
1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230
2730 University Blvd W
Ste 104
Wheaton, MD 20902
Phone (301) 942-8799
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | D0052841 | MD | Yes |
Addresses
Primary practice location
2730 University Blvd W
Ste 104
Wheaton, MD 20902-1905
Mailing address
804 Scott Nixon Memorial Dr
Augusta, GA 30907-2464
Other providers in Wheaton, MD
- Deborah Erin Engel
- Eric a. Oristian, MD, P C
- Eyecare Associates of Wheaton LLC
- Patrick H Farley
- Jason Fehr
- First Chiropractic LLC
- Terisa Lynn Foster Flick
- Foot and Ankle Specialists of the Mid-Atlantic, LLC
- Alexis Fowler
- Darcy Freeman
All providers in Wheaton, MD · Anesthesiology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.