Active NPI
Kyle Matthew Wallenstrom, MD
- Military Health Care Provider
- Bethesda, MD
National Provider Identifier
1649111568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- Practice address
- 8901 Wisconsin Ave
Bethesda, MD 20889-5628 - Phone
- (301) 319-8278
- Fax
- (301) 295-9186
- NPI assigned
- Apr 3, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | Primary |
Addresses
Primary practice location
8901 Wisconsin Ave
Bethesda, MD 20889-5628
Mailing address
8901 Wisconsin Ave
Bethesda, MD 20889-5628
Phone (301) 319-8278
Other practice location 1
110 Irving St NW
Washington, DC 20010-3017
Phone (202) 877-7000
Other practice location 2
50 Irving St NW
Washington, DC 20422-0001
Phone (202) 745-8000
Other practice location 3
Dr. Hitzelberger-Strasse
Landstuhl, Rheinland-Pfalz 66849
DE
Other practice location 4
1701 N George Mason Dr
Arlington, VA 22205-3610
Phone (703) 558-5000
Other practice location 5
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001
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)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1649111568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8901 WISCONSIN AVE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208895628",
"telephone_number": "301-319-8278",
"fax_number": "301-295-9186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 WISCONSIN AVE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208895628",
"telephone_number": "301-319-8278",
"fax_number": "301-295-9186"
}
],
"practiceLocations": [
{
"address_1": "110 Irving St NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200103017",
"country_code": "US",
"telephone_number": "202-877-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "50 Irving St NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "204220001",
"country_code": "US",
"telephone_number": "202-745-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Dr. Hitzelberger-Strasse",
"address_purpose": "LOCATION",
"city": "Landstuhl",
"state": "Rheinland-Pfalz",
"postal_code": "66849",
"country_code": "DE",
"country_name": "Germany",
"address_type": "FGN"
},
{
"address_1": "1701 N George Mason Dr",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "VA",
"postal_code": "222053610",
"country_code": "US",
"telephone_number": "703-558-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3300 Gallows Rd",
"address_purpose": "LOCATION",
"city": "Falls Church",
"state": "VA",
"postal_code": "220423307",
"country_code": "US",
"telephone_number": "703-776-4001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALLENSTROM",
"first_name": "KYLE",
"middle_name": "MATTHEW",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-03",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.