Wilfred R Ehrmantraut Jr., MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

D0059299 Issued in MD

Practice address

70 Sherry LN
Suite 203
Prince Frederick, MD 20678-3275

Phone

(410) 414-9844

Fax

(410) 414-9795

NPI assigned

Nov 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

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

Specialty

Plastic and Reconstructive Surgery

Education

George Washington University School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Calverthealth Medical Group, LLCGroup PAC ID 2163562695, 50 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Calverthealth Medical Center Hospital, Prince Frederick, MD, CCN 210039

Merit-based Incentive Payment System (MIPS)

Final score

86.48 of 100Reported as group

Quality

74.54

Promoting interoperability

99

Improvement activities

40

Cost

81.24

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wilfred.ehrmantraut@directcalverthospital.org

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.

• Calverthealth Medical Group, LLC

  • Family Medicine Physician
  • Prince Frederick, MD
  • NPI 1386871390
  Medicare reassignment Care Compare group NPD
• Plastic Surgery Center of Southern Maryland, LLC

  • Ambulatory Surgical Clinic/Center
  • Prince Frederick, MD
  • NPI 1356645451
  NPD (past) Authorized official
• Calverthealth Medical Group, LLC

  • Family Medicine Physician
  • Solomons, MD
  • NPI 1396534418

  Plastic Surgery

  NPD
• Calverthealth Medical Group, LLC

  • Family Medicine Physician
  • Prince Frederick, MD
  • NPI 1639916653
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Calverthealth Medical Center, Inc.

  • General Acute Care Hospital
  • Prince Frederick, MD
  • NPI 1457389298
  Care Compare affiliation

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1952480733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL RD STE 210",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784040",
            "telephone_number": "410-414-9844",
            "fax_number": "410-414-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 SHERRY LN",
            "address_2": "SUITE 203",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783275",
            "telephone_number": "410-414-9844",
            "fax_number": "410-414-9795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRMANTRAUT",
        "first_name": "WILFRED",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MD",
            "license": "D0059299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2956889",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RENDERING BC/BS ID# MD",
            "identifier": "41312102",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401242900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1300392",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7534379",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL/DC/BLUECHOICE",
            "identifier": "G616-0001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE",
            "identifier": "3102788",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MARYLAND",
            "identifier": "KDC3",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dwi Services, Inc
• Jennifer L Edwards, LCPC
• Lavonne Edwards, PA
• Melissa Alberta Edwards, CAC-AD
• Brittanie Lee Eggan, P.A.
• Kanayo Ekeada, PHARMD
• Amanda E Eller, P.T.D.P.T.
• Betty Trout Elliott
• Kia Elliott, NP
• Emergency Medicine Associates

• Plastic Surgery Physician in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Plastic Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.