Individual provider Active NPI

Carl Frank Wentzel III, M.D.

  • Emergency Medicine Physician
  • Suffolk, VA
National Provider Identifier
1700813813
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101047910 Issued in VA
Practice address
5818 Harbour View Blvd
Suffolk, VA 23435-3315
Phone
(757) 673-5800
NPI assigned
Jun 26, 2006
Last updated
Nov 7, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101047910 VA Primary

Addresses

Primary practice location

5818 Harbour View Blvd
Suffolk, VA 23435-3315

Mailing address

PO Box 634706
Cincinnati, OH 45263-0001
Phone (865) 292-3000

Other identifiers 2

IdentifierTypeStateIssuer
P00343469OtherVARAILROAD MEDICARE
1700813813MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 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
I20061011000375 VA Practitioner - Emergency Medicine 1355347543 Reassigns benefits to 4 organizations
I20210720003479 NC Practitioner - Emergency Medicine 1355347543

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians

Practice addresses (Care Compare)

1250 E Marshall St
Richmond, VA 23219-5051
Phone (804) 828-9000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.74 of 100Reported as group
Quality
74.5
Promoting interoperability
100
Improvement activities
40
Cost
77.96

Merit-based Incentive Payment System (MIPS)

Final score
83.95 of 100Reported as group
Quality
69.91
Promoting interoperability
99
Improvement activities
40
Cost
77.42

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CMH Physician Services, LLC Emergency Medicine CurrentSince Aug 22, 2021 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Aug 8, 2017 Accepting new patients
CMH Physician Services, LLC CurrentSince Aug 22, 2021 Accepting new patients
Emergency Physicians of Southern Virginia LLP Emergency Medicine CurrentSince May 16, 2021 Accepting new patients
Jones Lake Emergency Group, PC Emergency Medicine CurrentSince Jun 1, 2021 Accepting new patients
MCV Associated Physicians Emergency Medicine CurrentSince Jul 8, 2024 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Aug 8, 2017 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Sentara Medical Group PastSince May 1, 2025 Accepting new patients
Pathology Sciences Medical Group, PC PastSince Apr 1, 2005 Accepting new patients
Emergency Coverage, LLC Emergency Medicine Past Accepting new patients
Virginia Emergency Physicians LLP Emergency Medicine Past Accepting new patients

Locations

310 S McCaskey Rd
Williamston, NC 27892
Phone (252) 809-6133

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

3636 High St
Portsmouth, VA 23707
Phone (757) 398-2200

1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

1755 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 584-2273

5818 Harbour View Blvd
Suffolk, VA 23435
Phone (757) 638-5800

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1700813813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 634706",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452630001",
            "telephone_number": "865-292-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5818 HARBOUR VIEW BLVD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353315",
            "telephone_number": "757-673-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENTZEL",
        "first_name": "CARL",
        "middle_name": "FRANK",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101047910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00343469",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700813813",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.