Active NPI
Matthew S. Wolins, MD
- Anesthesiology Physician
- Vienna, VA
National Provider Identifier
1790760049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- D54682
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 402130401 | Medicaid | MD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| D0054682 | MD | MD | Anesthesiology Physician |
| D54682 | MD | MD | Obesity Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Multi-Specialty Clinic/Center
- Falls Church, VA
- NPI 1972026698
-
- Obesity Medicine (Internal Medicine) Physician
- Bethesda, MD
- NPI 1215488713
-
- Anesthesiology Physician
- Washington, DC
- NPI 1265452635
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.