Active NPI
Daniel I Woronow, M.D.
- Interventional Cardiology Physician
- Rockville, MD
National Provider Identifier
1619071842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- D23805
- Practice address
- 12609 Celtic CT
Rockville, MD 20850-3769 - Phone
- (301) 367-3856
- NPI assigned
- Sep 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | D23805 | MD | Primary |
| Interventional Cardiology Physician | 207RI0011X | 13973 | DC |
Addresses
Primary practice location
12609 Celtic CT
Rockville, MD 20850-3769
Mailing address
12609 Celtic CT
Rockville, MD 20850-3769
Phone (301) 367-3856
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 465161800 | Medicaid | MD | |
| 024671200 | Medicaid | DC | |
| 5878-0001 | Other | CAREFIRST BLUECROSS BLUES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13973 | DC | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626652800000",
"number": "1619071842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12609 CELTIC CT",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503769",
"telephone_number": "301-367-3856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12609 CELTIC CT",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503769",
"telephone_number": "301-367-3856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORONOW",
"first_name": "DANIEL",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-08",
"last_updated": "2021-07-19",
"certification_date": "2021-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "MD",
"license": "D23805",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "DC",
"license": "13973",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "465161800",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "024671200",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUECROSS BLUES",
"identifier": "5878-0001",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.