Individual provider Active NPI

Letitia Jeanna Wright, MD

  • Internal Medicine Physician
  • Parkville, MD
National Provider Identifier
1992987499
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0069097 Issued in MD
Practice address
8813 Waltham Woods Rd Ste 204
Parkville, MD 21234-2577
Phone
(410) 882-5088
NPI assigned
Nov 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D69097 MD
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X D0069097 MD Primary

Addresses

Primary practice location

8813 Waltham Woods Rd Ste 204
Parkville, MD 21234-2577

Mailing address

4326 Parkside Dr
Baltimore, MD 21206-6425
Phone (443) 562-6621

Other practice location 1

1000 E Eager St
Baltimore, MD 21202-5533
Phone (410) 522-9800

Other identifiers 1

IdentifierTypeStateIssuer
023751500MedicaidMD

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
I20090811000036 MD Practitioner - Internal Medicine 8022162056 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio State University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8813 Waltham Woods Rd
Suite 204
Parkville, MD 21234-2577
Phone (410) 882-5088

Hospital & facility affiliations

  • Medstar Good Samaritan Hospital Hospital, Baltimore, MD, CCN 210056

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0069097MDMDInternal Medicine Physician
D69097MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Letitia J. Wright, MD, Inc. Single Specialty CurrentSince Oct 18, 2022 Accepting new patients
Medstar Medical Group II LLC Single Specialty CurrentSince Jul 1, 2021 Accepting new patients
Medstar Medical Group II LLC Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Dr. Tamader H. Mira, P.a. Single Specialty CurrentSince Nov 1, 2021 Accepting new patients

Locations

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

5505 Ritchie Hwy
Ste E
Brooklyn Park, MD 21225
Phone (410) 335-0350

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

8813 Waltham Woods Rd
Ste 204
Parkville, MD 21234
Phone (410) 661-4670

8000 York Rd
Ste Bc
Towson, MD 21252
Phone (410) 704-2707

Interoperability endpoints

  • Direct secure messaging: thewrightmedicine@ppdxdirect.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IDJDCD

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 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": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1992987499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4326 PARKSIDE DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212066425",
            "telephone_number": "443-562-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8813 WALTHAM WOODS RD STE 204",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212342577",
            "telephone_number": "410-882-5088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 E Eager St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212025533",
            "country_code": "US",
            "telephone_number": "410-522-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "LETITIA",
        "middle_name": "JEANNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-27",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D69097",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0069097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023751500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MD

Sources for this page

Verify at the official NPI Registry.