Individual provider Active NPI

Sam O Wanko, MD

  • Hematology & Oncology Physician
  • Bethesda, MD
National Provider Identifier
1649293309
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
28106 Issued in WV
Practice address
BLDG 8 4TH Deck 8901 Wisconsin Ave
National National Medical Center, Dept of Oncology
Bethesda, MD 20889
Phone
(301) 435-5386
NPI assigned
Jul 25, 2006
Last updated
Apr 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 0101058113 VA
Hematology & Oncology Physician 207RH0003X 28106 WV Primary

Addresses

Primary practice location

BLDG 8 4TH Deck 8901 Wisconsin Ave
National National Medical Center, Dept of Oncology
Bethesda, MD 20889

Mailing address

2000 Foundation Way Ste 2600
Martinsburg, WV 25401-9197
Phone (304) 267-1944

Other practice location 1

Bldg 8 4th Deck 8901 Wisconsin Ave
National National Medical Center, Dept of Oncology
Bethesda, MD 20889-5600
Phone (301) 435-5386

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address swanko122098@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address swanko122098@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address swanko122098@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20180601001285 WV Practitioner - Hematology/OncologyPractitioner - Medical Oncology 3779715727 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101058113VAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation Current Accepting new patients
University Healthcare Physicians Inc CurrentSince Apr 15, 2018 Accepting new patients
University Healthcare Physicians, Inc. Hematology & Oncology CurrentSince Apr 15, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2000 Foundation Way
Ste 2600
Martinsburg, WV 25401
Phone (304) 263-7023

2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

300 S Preston St
Ranson, WV 25438
Phone (304) 728-1600

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, 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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1649293309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 FOUNDATION WAY STE 2600",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254019197",
            "telephone_number": "304-267-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 8 4TH DECK 8901 WISCONSIN AVE",
            "address_2": "NATIONAL NATIONAL MEDICAL CENTER, DEPT OF ONCOLOGY",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20889",
            "telephone_number": "301-435-5386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Bldg 8 4th Deck 8901 Wisconsin Ave",
            "address_2": "National National Medical Center, Dept of Oncology",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208895600",
            "country_code": "US",
            "telephone_number": "301-435-5386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANKO",
        "first_name": "SAM",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "VA",
            "license": "0101058113",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WV",
            "license": "28106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swanko122098@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2000 Foundation Way Ste 2600",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254019197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swanko122098@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2000 Foundation Way Ste 2600",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254019197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swanko122098@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2000 Foundation Way",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254019003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.