Individual provider Active NPI

Charles Terrell Weng, M.D.

  • Internal Medicine Physician
  • Lutherville, MD
National Provider Identifier
1952436669
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D50760 Issued in MD
Practice address
1407 York Rd
Suite 307
Lutherville, MD 21093-6097
Phone
(410) 339-3850
Fax
(410) 339-3852
NPI assigned
Feb 22, 2007
Last updated
Mar 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D50760 MD Primary

Addresses

Primary practice location

1407 York Rd
Suite 307
Lutherville, MD 21093-6097

Mailing address

1407 York Rd
Suite 307
Lutherville, MD 21093-6097
Phone (410) 339-3850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041210000533 MD Practitioner - Internal Medicine 8426015504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1407 York Rd
Suite 307
Lutherville, MD 21093-6054
Phone (410) 339-3850

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D50760MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Medicine, Inc Internal Medicine CurrentSince Jul 2, 2001 Accepting new patients
Cardiac Surgery Associates SC Past Accepting new patients

Locations

1407 York Rd
Ste 307
Lutherville Timonium, MD 21093
Phone (410) 339-3850

Interoperability endpoints

  • Direct secure messaging: charles.weng.1@7294.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1952436669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 YORK RD",
            "address_2": "SUITE 307",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936097",
            "telephone_number": "410-339-3850",
            "fax_number": "410-339-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 YORK RD",
            "address_2": "SUITE 307",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936097",
            "telephone_number": "410-339-3850",
            "fax_number": "410-339-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENG",
        "first_name": "CHARLES",
        "middle_name": "TERRELL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D50760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

Verify at the official NPI Registry.