Individual provider Active NPI

Natelege T Wardlow, PA

  • Physician Assistant
  • Baltimore, MD
National Provider Identifier
1861439309
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0002886 Issued in MD
Practice address
2435 W Belvedere Ave Ste 42
Baltimore, MD 21215-5224
Phone
(410) 601-5547
Fax
(410) 601-5835
NPI assigned
Jun 1, 2006
Last updated
Sep 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0002886 MD Primary

Addresses

Primary practice location

2435 W Belvedere Ave Ste 42
Baltimore, MD 21215-5224

Mailing address

2435 W Belvedere Ave Ste 42
Baltimore, MD 21215-5224
Phone (410) 601-5547

Other practice location 1

7600 Carroll Ave
Washington Adventist Hospital
Takoma Park, MD 20912
Phone (301) 891-5070

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: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070124000481 MD Practitioner - Physician Assistant 6608830542 Reassigns benefits to 1 organization
I20080925000112 DC Practitioner - Physician Assistant 6608830542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
008490NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore Inc CurrentSince Jul 1, 2010 Accepting new patients
Medstar Medical Group II LLC CurrentSince Sep 1, 2024 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Jul 1, 2010 Accepting new patients
Emergency Medicine Associates P.a., P.C. Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

2435 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 601-0900

2435 W Belvedere Ave
Ste 42
Baltimore, MD 21215
Phone (410) 601-5547

2435 W Belvedere Ave
Ste 56
Baltimore, MD 21215
Phone (410) 578-8632

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

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, 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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1861439309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 W BELVEDERE AVE STE 42",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155224",
            "telephone_number": "410-601-5547",
            "fax_number": "410-601-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 W BELVEDERE AVE STE 42",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155224",
            "telephone_number": "410-601-5547",
            "fax_number": "410-601-5835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7600 Carroll Ave",
            "address_2": "Washington Adventist Hospital",
            "address_purpose": "LOCATION",
            "city": "Takoma Park",
            "state": "MD",
            "postal_code": "20912",
            "country_code": "US",
            "telephone_number": "301-891-5070",
            "fax_number": "301-891-5137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARDLOW",
        "first_name": "NATELEGE",
        "middle_name": "T",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0002886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.