Active NPI
Joelle Wazen, MD
- Diagnostic Radiology Physician
- Columbia, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- D0093147
- Practice address
- 10980 Grantchester Way FL 5
Columbia, MD 21044-6097 - Phone
- (301) 902-1073
- NPI assigned
- Jul 11, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | D0093147 | MD | Primary |
Addresses
Primary practice location
10980 Grantchester Way FL 5
Columbia, MD 21044-6097
Mailing address
180 Harvester Dr Ste 110
Burr Ridge, IL 60527-6686
Phone (773) 702-1150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Irving St NW
Washington, DC 20010-3017
Phone (202) 877-7000
1133 21St St NW
Suite 800
Washington, DC 20036-3371
Phone (202) 748-8830
12 Medstar Blvd
Bel Air, MD 21015-1798
Phone (443) 625-5430
24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-7900
9000 Franklin Square Dr
Baltimore, MD 21237-3901
Phone (443) 777-7000
Hospital & facility affiliations
- Medstar Saint Mary'S Hospital
- Medstar Washington Hospital Center
- Medstar Georgetown University Hospital
- Medstar Franklin Square Medical Center
- Medstar Southern Maryland Hospital Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.34 of 100
- Quality
- 67.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.47
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.41 of 100
- Quality
- 61.45
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 79.91
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0093147 | MD | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group Radiology, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Medstar Medical Group - Southern Maryland LLC | Current | Accepting new patients | |
| Physician Imaging of Washington Hospital Center LLC | Diagnostic Radiology | Current | Accepting new patients |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group - Southern Maryland LLC | Current | Accepting new patients | |
| Physician Imaging of Washington Hospital Center, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Physician Imaging of Washington Hospital Center LLC | Diagnostic Radiology | Current | Accepting new patients |
| Medstar Medical Group II LLC | Current | Accepting new patients |
Locations
1133 21st St NW
Ste 800
Washington, DC 20036
Phone (202) 295-0560
110 Irving St NW
Rm BA94
Washington, DC 20010
Phone (202) 877-6429
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
12 Medstar Blvd
Bel Air, MD 21015
Phone (410) 877-8087
13950 Brandywine Rd
Brandywine, MD 20613
Phone (301) 782-2220
3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200
29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300
10980 Grantchester Way
Fl 5
Columbia, MD 21044
1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440
1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440
24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588
25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106
12158 Central Ave
Ste 100
Mitchellville, MD 20721
Phone (301) 430-2750
9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000
2118 Greenspring Dr
Ste 100
Timonium, MD 21093
Phone (443) 470-1070
10 Saint Patricks Dr
Waldorf, MD 20603
Phone (301) 705-7870
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.
-
- Internal Medicine Physician
- Hollywood, MD
- NPI 1831592211
-
- Radiology Clinic/Center
- Chevy Chase, MD
- NPI 1831385871
DC, Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Washington, DC
- NPI 1326450156
MD
-
- Ambulatory Surgical Clinic/Center
- Waldorf, MD
- NPI 1730571118
-
- Radiology Clinic/Center
- Rockville, MD
- NPI 1326648346
Diagnostic Radiology
-
- Radiology Clinic/Center
- Bel Air, MD
- NPI 1700246022
Diagnostic Radiology
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1184712085
-
- General Acute Care Hospital
- Clinton, MD
- NPI 1366790693
-
- General Acute Care Hospital
- Leonardtown, MD
- NPI 1780650473
-
- General Acute Care Hospital
- Washington, DC
- NPI 1427145176
-
- General Acute Care Hospital
- Washington, DC
- NPI 1548378235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722643200000",
"number": "1669824967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 HARVESTER DR STE 110",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605276686",
"telephone_number": "773-702-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10980 GRANTCHESTER WAY FL 5",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210446097",
"telephone_number": "301-902-1073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAZEN",
"first_name": "JOELLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-11",
"last_updated": "2024-08-03",
"certification_date": "2024-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MD",
"license": "D0093147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.