Individual provider Active NPI

Matthew S. Wolins, MD

  • Anesthesiology Physician
  • Vienna, VA
National Provider Identifier
1790760049
Registry record updated Jul 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D54682 Issued in MD
Practice address
8245 Boone Blvd Ste 210
Vienna, VA 22182-3875
Phone
(301) 658-2019
Fax
(301) 658-2018
NPI assigned
Dec 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D0054682 MD
Obesity Medicine (Internal Medicine) Physician 207RB0002X D54682 MD
Anesthesiology Physician 207L00000X D54682 MD Primary

Addresses

Primary practice location

8245 Boone Blvd Ste 210
Vienna, VA 22182-3875

Mailing address

10401 Old Georgetown Rd
Suite 408
Bethesda, MD 20814-1911
Phone (301) 658-2019

Other practice location 1

10401 Old Georgetown Rd
Ste 408
Bethesda, MD 20814-1911
Phone (301) 658-2019

Other identifiers 1

IdentifierTypeStateIssuer
402130401MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0054682MDMDAnesthesiology Physician
D54682MDMDObesity Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Simplyslim Medical of Virginia Current Accepting new patients
Simplyslim Medical LLC Obesity Medicine Past Accepting new patients
Washington Hospital Center Corp Anesthesiology Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656806400000",
    "number": "1790760049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 OLD GEORGETOWN RD",
            "address_2": "SUITE 408",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141911",
            "telephone_number": "301-658-2019",
            "fax_number": "301-658-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8245 BOONE BLVD STE 210",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823875",
            "telephone_number": "301-658-2019",
            "fax_number": "301-658-2018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10401 Old Georgetown Rd",
            "address_2": "STE 408",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208141911",
            "country_code": "US",
            "telephone_number": "301-658-2019",
            "fax_number": "301-658-2018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLINS",
        "first_name": "MATTHEW",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2022-07-03",
        "certification_date": "2022-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0054682",
            "primary": false
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "MD",
            "license": "D54682",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D54682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402130401",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.