Individual provider Active NPI

Jenel Wyatt, MD

  • Family Medicine Physician
  • Germantown, MD
National Provider Identifier
1851401012
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D62063 Issued in MD
Practice address
20500 Seneca Meadows Pkwy Ste 2400
Germantown, MD 20876
Phone
(240) 912-2738
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D62063 MD Primary

Addresses

Primary practice location

20500 Seneca Meadows Pkwy Ste 2400
Germantown, MD 20876

Mailing address

9910 Franklin Square Dr # 2110
Baltimore, MD 21236-4902
Phone (410) 933-5412

Other practice location 1

14207 Park Center Dr.
Suite 102
Laurel, MD 20707
Phone (410) 880-6132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20050812000309 MD Practitioner - Family Practice 6901835693 Reassigns benefits to 1 organization
I20050816000089 DC Practitioner - Family Practice 6901835693 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Michigan Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Urgent Care LLCGroup PAC ID 9335303155, shared by 36 NPIs, 300 clinicians
Johns Hopkins Community Physicians, IncGroup PAC ID 8325943707, 764 clinicians
Suburban/NRH Medical Rehabilitation IncGroup PAC ID 6507846771, 885 clinicians

Practice addresses (Care Compare)

11915 Georgia Ave
Wheaton, MD 20902-2065
Phone (301) 942-4505

14207 Park Ctr Dr
Suite 102
Laurel, MD 20707-5255
Phone (301) 604-5254

1805 Columbia Rd NW
Washington, DC 20009-2001
Phone (202) 797-4960

20 University Blvd E
Silver Spring, MD 20901-2436
Phone (240) 863-2720

20500 Seneca Meadows Pkwy
Suite 2400
Germantown, MD 20876-7014
Phone (240) 912-2738

3064 Waldorf Market PL
Waldorf, MD 20603-4871
Phone (301) 932-5960

45870 E Run Dr
Lexington Park, MD 20653-4362
Phone (240) 895-8630

6401 America Blvd
Hyattsville, MD 20782-2357
Phone (301) 276-8800

6410 Rockledge Dr
Bethesda, MD 20817-1844

Hospital & facility affiliations

  • Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians, Inc CurrentSince Oct 28, 2006 Accepting new patients
Medstar Urgent Care LLC CurrentSince Jan 28, 2024 Accepting new patients
Medstar Urgent Care, LLC Current Accepting new patients
Johns Hopkins Community Physicians CurrentSince Oct 28, 2006 Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients
Medstar Urgent Care LLC CurrentSince Jan 28, 2024 Accepting new patients
Johns Hopkins Community Physicians, Inc. Family Medicine Past Accepting new patients
Johns Hopkins Community Physicians, Inc Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1805 Columbia Rd NW
Washington, DC 20009
Phone (202) 797-4950

3100 Wyman Park Dr
Ste 359A
Baltimore, MD 21211
Phone (410) 338-3016

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

195 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 695-6900

20500 Seneca Meadows Pkwy
Ste 2400
Germantown, MD 20876
Phone (240) 912-2738

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

532 Baltimore Blvd
Ste 201
Westminster, MD 21157
Phone (410) 751-8800

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

Interoperability endpoints

  • Direct secure messaging: jwyatt6710@direct.hopkinsmedicine.org

Organizations & group practices 11

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 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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1851401012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 FRANKLIN SQUARE DR # 2110",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364902",
            "telephone_number": "410-933-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20500 SENECA MEADOWS PKWY STE 2400",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "20876",
            "telephone_number": "240-912-2738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14207 Park Center Dr.",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "20707",
            "country_code": "US",
            "telephone_number": "410-880-6132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYATT",
        "first_name": "JENEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D62063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

Verify at the official NPI Registry.