Individual provider Active NPI

Wojciech Krzysztof Mydlarz, M.D.

  • Otolaryngology Physician
  • Bethesda, MD
National Provider Identifier
1669680328
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
D0068013 Issued in MD
Practice address
6420 Rockledge Dr
Suite 4920
Bethesda, MD 20817-7837
Phone
(301) 896-3332
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X D0068013 MD Primary
Otolaryngology Physician 207Y00000X P8515 TX

Addresses

Primary practice location

6420 Rockledge Dr
Suite 4920
Bethesda, MD 20817-7837

Mailing address

6420 Rockledge Dr
Suite 4920
Bethesda, MD 20817-7837
Phone (301) 896-3332

Other identifiers 2

IdentifierTypeStateIssuer
335612301MedicaidTX
072677000MedicaidMD

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
I20140225001046 MD Practitioner - Otolaryngology 2860641677 Reassigns benefits to 1 organization
I20150810001836 DC Practitioner - Otolaryngology 2860641677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Johns Hopkins University School of Medicine, 2007
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Johns Hopkins UniversityGroup PAC ID 8921903147, 2,886 clinicians
Johns Hopkins UniversityGroup PAC ID 4981745098, 711 clinicians

Practice addresses (Care Compare)

601 N Caroline St
Baltimore, MD 21287-0006
Phone (410) 955-5080

6420 Rockledge Dr
Bethesda, MD 20817-7837
Phone (301) 896-6717

8600 Old Georgetown Rd
Bethesda, MD 20814-1497
Phone (301) 896-2578

Hospital & facility affiliations

  • Suburban Hospital Hospital, Bethesda, MD, CCN 210022
  • Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009
  • Sibley Memorial Hospital Hospital, Washington, DC, CCN 090005

Merit-based Incentive Payment System (MIPS)

Final score
83.31 of 100Reported as group
Quality
73.89
Promoting interoperability
100
Improvement activities
40
Cost
70.47

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0068013MDMDOtolaryngology Physician
P8515TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Aug 1, 2015 Accepting new patients
Johns Hopkins University CurrentSince Aug 1, 2015 Accepting new patients
Johns Hopkins University Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

601 N Caroline St
Baltimore, MD 21287
Phone (410) 955-5080

8600 Old Georgetown Rd
Bethesda, MD 20814
Phone (301) 896-2578

6420 Rockledge Dr
Ste 4920
Bethesda, MD 20817
Phone (301) 896-3330

6420 Rockledge Dr
Bethesda, MD 20817
Phone (301) 896-6700

Interoperability endpoints

  • Direct secure messaging: wmydlarz37204@direct.hopkinsmedicine.org

Organizations & group practices 5

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 4

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1669680328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 ROCKLEDGE DR",
            "address_2": "SUITE 4920",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208177837",
            "telephone_number": "301-896-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 ROCKLEDGE DR",
            "address_2": "SUITE 4920",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208177837",
            "telephone_number": "301-896-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYDLARZ",
        "first_name": "WOJCIECH",
        "middle_name": "KRZYSZTOF",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D0068013",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "P8515",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "335612301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "072677000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.