Individual provider Active NPI

Scott J Wiesenberger, MD

  • Anesthesiology Physician
  • Bethesda, MD
National Provider Identifier
1811030695
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D0070972 Issued in MD
Practice address
4330 E West Hwy
Suite 1100
Bethesda, MD 20814-4408
Phone
(301) 986-8010
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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 MD038866 DC
Anesthesiology Physician 207L00000X 0101247880 VA
Anesthesiology Physician 207L00000X D0070972 MD Primary

Addresses

Primary practice location

4330 E West Hwy
Suite 1100
Bethesda, MD 20814-4408

Mailing address

14907 Michele Dr
Glenelg, MD 21737-9419
Phone (954) 594-4950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20110104000167 DC Practitioner - Anesthesiology 2961690151 Reassigns benefits to 2 organizations
I20110111000297 MD Practitioner - Anesthesiology 2961690151 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Miami, LM Miller School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Outpatient Sedation LLCGroup PAC ID 3476718792, 29 clinicians

Practice addresses (Care Compare)

3407 Olandwood CT
Unit 103
Olney, MD 20832-1447
Phone (301) 570-8671

7120 Minstrel Way
Suite 100
Columbia, MD 21045-5274
Phone (410) 290-6677

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD038866DCMDAnesthesiology Physician
0101247880VAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia Maryland LLC Anesthesiology CurrentSince Dec 1, 2018 Accepting new patients
Columbia Outpatient Sedation LLC Anesthesiology CurrentSince Aug 1, 2024 Accepting new patients
Olney Endoscopy Center PastSince Aug 1, 2024 Accepting new patients
Home Physicians Baltimore, PC Past Accepting new patients

Locations

1419 Forest Dr
Ste 105
Annapolis, MD 21403

6430 Rockledge Dr
Ste 160
Bethesda, MD 20817
Phone (301) 312-6144

7120 Minstrel Way
Ste 100
Columbia, MD 21045
Phone (571) 210-4828

12200 Annapolis Rd
Ste 220
Glenn Dale, MD 20769
Phone (301) 699-2296

1300 Bellona Ave
Ste A
Lutherville Timonium, MD 21093
Phone 4102964616203

3407 Olandwood Ct
Unit 103
Olney, MD 20832
Phone (301) 570-8671

9 Park Center Ct
Ste 100
Owings Mills, MD 21117
Phone (410) 205-7667

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

Organizations & group practices 4

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1811030695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14907 MICHELE DR",
            "city": "GLENELG",
            "state": "MD",
            "postal_code": "217379419",
            "telephone_number": "954-594-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 E WEST HWY",
            "address_2": "SUITE 1100",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144408",
            "telephone_number": "301-986-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESENBERGER",
        "first_name": "SCOTT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "DC",
            "license": "MD038866",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101247880",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0070972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.