Individual provider Active NPI

Donald Keith Wilkerson, M.D.

  • Vascular Surgery Physician
  • Baltimore, MD
National Provider Identifier
1922045541
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
D0053875 Issued in MD
Practice address
3407 Wilkens Ave Ste 400
Baltimore, MD 21229-5074
Phone
(410) 646-4888
Fax
(410) 646-2828
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X D0053875 MD Primary

Addresses

Primary practice location

3407 Wilkens Ave Ste 400
Baltimore, MD 21229-5074

Mailing address

3407 Wilkens Ave Ste 400
Baltimore, MD 21229-5074
Phone (410) 646-4888

Other identifiers 1

IdentifierTypeStateIssuer
165501900MedicaidMD

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
I20041122000483 MD Practitioner - Vascular SurgeryPractitioner - General Surgery 3577528322 Reassigns benefits to 4 organizations
I20200727003303 DC Practitioner - Vascular Surgery 3577528322 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Washington University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Cardiovascular Institute, LLCGroup PAC ID 7517903982, 16 clinicians

Practice addresses (Care Compare)

75 Thomas Johnson Dr
Suite I
Frederick, MD 21702-4895
Phone (301) 891-2500

7610 Carroll Ave
Suite 100
Takoma Park, MD 20912-6311
Phone (301) 891-2500

Merit-based Incentive Payment System (MIPS)

Final score
89.78 of 100Reported as group
Quality
78.26
Improvement activities
40
Cost
61.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0053875MDMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WVS Takoma Park LLC CurrentSince Sep 6, 2024 Accepting new patients
WVS Frederick ASC LLC CurrentSince Feb 26, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jun 1, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1910 Towne Centre Blvd
Ste 250
Annapolis, MD 21401
Phone (202) 596-8891

75 Thomas Johnson Dr
Ste I
Frederick, MD 21702
Phone (301) 378-0608

7610 Carroll Ave
Ste 100
Takoma Park, MD 20912

2405 York Rd
Ste 201
Timonium, MD 21093
Phone (240) 332-4048

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: donald.wilkerson.2@10710.direct.athenahealth.com
  • Direct secure messaging: donald.wilkerson.3@10710.direct.athenahealth.com
  • Direct secure messaging: donald.wilkerson.1@10710.direct.athenahealth.com
  • Direct secure messaging: donald.wilkerson.4@10710.direct.athenahealth.com

Organizations & group practices 6

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1922045541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 WILKENS AVE STE 400",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295074",
            "telephone_number": "410-646-4888",
            "fax_number": "410-646-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 WILKENS AVE STE 400",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295074",
            "telephone_number": "410-646-4888",
            "fax_number": "410-646-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "DONALD",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MD",
            "license": "D0053875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165501900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.