Individual provider Active NPI

Vanessa Gluck, MD

  • Anesthesiology Physician
  • Washington, DC
National Provider Identifier
1659398741
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD034573 Issued in DC
Practice address
110 Irving St NW
Washington, DC 20010-2976
Phone
(301) 946-5100
Fax
(301) 929-0348
NPI assigned
Jul 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 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 MD034573 DC Primary

Addresses

Primary practice location

110 Irving St NW
Washington, DC 20010-2976

Mailing address

11510 Georgia Ave
Suite 206
Wheaton, MD 20902-1925
Phone (301) 946-5100

Other identifiers 6

IdentifierTypeStateIssuer
3439459OtherDCAETNA HMO
104358OtherVAANTHEM BCBS
240226OtherDCKAISER
629294OtherDCNCPPO
7904528OtherDCAETNA NON HMO
0150OtherDCCAREFIRST BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040430001249 DC Practitioner - Anesthesiology 2860480787 Reassigns benefits to 6 organizations
I20070219000259 MD Practitioner - Anesthesiology 2860480787 Reassigns benefits to 1 organization
I20190117003940 VA Practitioner - Anesthesiology 2860480787 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
George Washington University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Charm City Anesthesia LLCGroup PAC ID 1850718073, 6 clinicians

Practice addresses (Care Compare)

110 Irving St NW
Washington, DC 20010-3017
Phone (202) 877-7000

4831 Cordell Ave
Bethesda, MD 20814-3068
Phone (301) 657-8200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD034573DCMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charm City Anesthesia LLC Anesthesiology CurrentSince Feb 1, 2021 Accepting new patients
WHC Physician Group LLC Current Accepting new patients
WHC Emerg Phys CurrentSince Jan 1, 2013 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2024 Accepting new patients
Medstar Medical Group Anesthesiology LLC Anesthesiology CurrentSince Jun 1, 2018 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2024 Accepting new patients
Medstar Medical Group Anesthesiology LLC Anesthesiology CurrentSince Jun 1, 2018 Accepting new patients
Capital Anesthesia Partners, LLC Anesthesiology CurrentSince Nov 20, 2012 Accepting new patients
WHC Physician Group LLC CurrentSince Jan 1, 2013 Accepting new patients
Dominion Anesthesia, PLLC Anesthesiology CurrentSince Sep 1, 2020 Accepting new patients
Safe Sedation, PLLC Anesthesiology Past Accepting new patients
Surgery Center of Central Virginia Inc. Past Accepting new patients
Washington Hospital Center Corp Anesthesiology Past Accepting new patients

Locations

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

1145 19th St NW
Ste 850
Washington, DC 20036
Phone (202) 223-9040

2021 K St NW
Ste T120
Washington, DC 20006
Phone (202) 775-0574

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

4831 Cordell Ave
Bethesda, MD 20814
Phone (301) 657-8200

5550 Friendship Blvd
Ste T100
Chevy Chase, MD 20815
Phone (240) 531-2832

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

1838 Greene Tree Rd
Ste 150
Pikesville, MD 21208
Phone (301) 881-7246

1701 N George Mason Dr
Ste 2D
Arlington, VA 22205
Phone (703) 558-2438

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1659398741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11510 GEORGIA AVE",
            "address_2": "SUITE 206",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209021925",
            "telephone_number": "301-946-5100",
            "fax_number": "301-929-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 IRVING ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102976",
            "telephone_number": "301-946-5100",
            "fax_number": "301-929-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUCK",
        "first_name": "VANESSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "DC",
            "license": "MD034573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3439459",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "104358",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "240226",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "629294",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON HMO",
            "identifier": "7904528",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "0150",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.