Individual provider Active NPI

Jeffrey Scott Wolf, M.D.

  • Otolaryngology Physician
  • Baltimore, MD
National Provider Identifier
1699782086
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
D57359 Issued in MD
Practice address
16 S Eutaw St
Baltimore, MD 21201-1606
Phone
(410) 328-6897
Fax
(410) 328-2109
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X D57359 MD Primary

Addresses

Primary practice location

16 S Eutaw St
Baltimore, MD 21201-1606

Mailing address

PO Box 64697
Baltimore, MD 21264-4697
Phone (410) 328-6897

Other identifiers 8

IdentifierTypeStateIssuer
79996OtherMDGEISINGER
BLUE SHIELDOtherMDBLUE SHIELD
2114168OtherMDUNITED HLTHCARE NATIONAL
294054OtherMDMDIPA
1000749OtherMDUNITED HLTHCARE
227408OtherMDKAISER
776702100MedicaidMD
0073OtherMDCAREFIRST REGIONAL

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
I20050729000878 MD Practitioner - Otolaryngology 3870521958 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Perelman School of Med at the University of Pennsylvania, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

16 S Eutaw St
FL 3
Baltimore, MD 21201-1606
Phone (410) 328-6866

16 S Eutaw St
Suite 400
Baltimore, MD 21201-1699
Phone (410) 328-6866

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-6866

827 Linden Ave
Baltimore, MD 21201-4606
Phone (410) 328-6866

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D57359MDMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Univ of Maryland Otorhinolaryngology Head & Neck Surgery PA CurrentSince Jul 1, 2005 Accepting new patients
Shock Trauma Associates, P.a. CurrentSince Mar 9, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

16 S Eutaw St
Ste 510
Baltimore, MD 21201

16 S Eutaw St
Fl 4
Baltimore, MD 21201
Phone (410) 328-1230

16 S Eutaw St
Ste 400
Baltimore, MD 21201
Phone (410) 328-1791

16 S Eutaw St
Baltimore, MD 21201
Phone (410) 328-2864

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

Interoperability endpoints

  • Direct secure messaging: jwolf6563@direct.umm.edu

Organizations & group practices 3

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 2

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202083200000",
    "number": "1699782086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64697",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644697",
            "telephone_number": "410-328-6897",
            "fax_number": "410-328-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 S EUTAW ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011606",
            "telephone_number": "410-328-6897",
            "fax_number": "410-328-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D57359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "79996",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "BLUE SHIELD",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HLTHCARE NATIONAL",
            "identifier": "2114168",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA",
            "identifier": "294054",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HLTHCARE",
            "identifier": "1000749",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "227408",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "776702100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST REGIONAL",
            "identifier": "0073",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.