Individual provider Active NPI

Rachel Wiltjer, DO

  • Emergency Medicine Physician
  • Baltimore, MD
National Provider Identifier
1649774696
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
H0097602 Issued in MD
Practice address
110 S. Paca St
6TH FLR Suite 200
Baltimore, MD 21201
Phone
(732) 593-7618
NPI assigned
Mar 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X H0097602 MD
Emergency Medicine Physician 207P00000X H0097602 MD Primary

Addresses

Primary practice location

110 S. Paca St
6TH FLR Suite 200
Baltimore, MD 21201

Mailing address

250 W Pratt St Ste 900
Baltimore, MD 21201-6808
Phone (667) 214-2507

Other names 1

  • Rachel Mann Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20230829004033 MD Practitioner - Pediatric MedicinePractitioner - Pulmonary DiseasePractitioner - Emergency MedicinePractitioner - Critical Care (Intensivists) 9830437144 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Critical Care (Intensivists), Emergency Medicine, Pulmonary Disease
Education
New York College of Osteo Medicine of New York Institute of Technology, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Maryland Emergency Medicine Associates PAGroup PAC ID 1951294941, 57 clinicians
University of Maryland Pediatric Associates, PAGroup PAC ID 6800888678, 53 clinicians

Practice addresses (Care Compare)

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-8025

Hospital & facility affiliations

  • University of Maryland Medical Center Hospital, Baltimore, MD, CCN 210002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0097602MDMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Pediatrics Assoc PA CurrentSince Jul 1, 2023 Accepting new patients
University of Maryland Physicians P.a. Current Accepting new patients
University of Maryland Physicians P.a. CurrentSince Sep 1, 2025 Accepting new patients
University of Maryland Pediatric Associates, PA CurrentSince Jul 1, 2023 Accepting new patients
University of Maryland Pediatric Associates, PA Current Accepting new patients
University of Maryland Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
University of Maryland Physicians PA CurrentSince Sep 1, 2025 Accepting new patients
University of Maryland Emergency Medicine Associates, PA Past Accepting new patients

Locations

821 N Eutaw St
Baltimore, MD 21201
Phone (410) 225-9185

650 W Lombard St
Baltimore, MD 21201
Phone (410) 328-6335

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

250 W Pratt St
Ste 900
Baltimore, MD 21201
Phone (410) 328-6267

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

Organizations & group practices 8

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 1

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": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1649774696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W PRATT ST STE 900",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212016808",
            "telephone_number": "667-214-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S. PACA ST",
            "address_2": "6TH FLR SUITE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21201",
            "telephone_number": "732-593-7618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILTJER",
        "first_name": "RACHEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-22",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MD",
            "license": "H0097602",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "H0097602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "MANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.