Individual provider Active NPI

David Murray Wanicur, M.D.

  • Ophthalmology Physician
  • Rockville, MD
National Provider Identifier
1598837742
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D13127 Issued in MD
Practice address
11400 Rockville Pike
Ste. 301
Rockville, MD 20852-3004
Phone
(301) 881-5888
Fax
(301) 881-2945
NPI assigned
Nov 14, 2006
Last updated
Mar 6, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D13127 MD Primary

Addresses

Primary practice location

11400 Rockville Pike
Ste. 301
Rockville, MD 20852-3004

Mailing address

11400 Rockville Pike
Ste. 301
Rockville, MD 20852-3004
Phone (301) 881-5888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20080313000425 DC Practitioner - Ophthalmology 4789769860 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Perelman School of Med at the University of Pennsylvania, 1965
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9601 Blackwell Rd
Suite 340
Rockville, MD 20850-3472
Phone (301) 610-2020

Merit-based Incentive Payment System (MIPS)

Final score
93.14 of 100Reported as group
Quality
99.47
Promoting interoperability
100
Improvement activities
40
Cost
77.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D13127MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Retinal Consultants LLC Ophthalmology Current Accepting new patients
The Retina Group of Washington, PLLC Ophthalmology CurrentSince Jul 1, 2022 Accepting new patients
The Retina Group of Washington, PLLC Ophthalmology CurrentSince Jul 1, 2022 Accepting new patients
Ladas Eye Group PA Ophthalmology CurrentSince Sep 1, 2014 Accepting new patients
Montgomery Eye Physicians & Surgeons, P.a. Ophthalmology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

9131 Piscataway Rd
Ste 500
Clinton, MD 20735
Phone (301) 868-8747

5283 Corporate Dr
Ste 201
Frederick, MD 21703
Phone (301) 607-0101

9601 Blackwell Rd
Ste 340
Rockville, MD 20850
Phone (301) 610-2020

2101 Medical Park Dr
Ste 101
Silver Spring, MD 20902
Phone (301) 681-6600

Interoperability endpoints

  • Direct secure messaging: dwanicur@arcnj.intellechartdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1598837742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 ROCKVILLE PIKE",
            "address_2": "STE. 301",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523004",
            "telephone_number": "301-881-5888",
            "fax_number": "301-881-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 ROCKVILLE PIKE",
            "address_2": "STE. 301",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523004",
            "telephone_number": "301-881-5888",
            "fax_number": "301-881-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANICUR",
        "first_name": "DAVID",
        "middle_name": "MURRAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D13127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.