Individual provider Active NPI

Jeffery Ryan Viken, MD

  • Anesthesiology Physician
  • Prince Frederick, MD
National Provider Identifier
1619085198
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D64467 Issued in MD
Practice address
100 Hospital Rd
Prince Frederick, MD 20678
Phone
(410) 535-8295
Fax
(410) 414-4788
NPI assigned
Aug 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D64467 MD Primary

Addresses

Primary practice location

100 Hospital Rd
Prince Frederick, MD 20678

Mailing address

PO Box 630898
Baltimore, MD 21263-0898
Phone (800) 426-1670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070208000207 MD Practitioner - Anesthesiology 3779585419 Reassigns benefits to 2 organizations
I20210212001396 DC Practitioner - Anesthesiology 3779585419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Baylor College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Company LLCGroup PAC ID 4587559026, 373 clinicians

Practice addresses (Care Compare)

100 Hospital Rd
Prince Frederick, MD 20678-4017
Phone (410) 535-4000

2001 Medical Pkwy
Annapolis, MD 21401-3773
Phone (443) 481-1000

70 Sherry LN
Suite 101
Prince Frederick, MD 20678-3276
Phone (410) 889-2040

Hospital & facility affiliations

  • Calverthealth Medical Center Hospital, Prince Frederick, MD, CCN 210039
  • Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Company, LLC Anesthesiology CurrentSince Mar 30, 2019 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Mar 25, 2020 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Mar 25, 2020 Accepting new patients

Locations

700 Melvin Ave
Ste 7A
Annapolis, MD 21401
Phone (240) 766-2734

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

70 Sherry Ln
Ste 101
Prnc Frederck, MD 20678
Phone (410) 889-2040

8905 Fairview Rd
Silver Spring, MD 20910
Phone (888) 554-0631

Organizations & group practices 4

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 3

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": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619085198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 630898",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212630898",
            "telephone_number": "800-426-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "20678",
            "telephone_number": "410-535-8295",
            "fax_number": "410-414-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIKEN",
        "first_name": "JEFFERY",
        "middle_name": "RYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D64467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.