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DYRIAN DENAE WANDICK MD
NPI 1164051439
Student in an Organized Health Care Education/Training Program in Washington, DC

Active since April 07, 2020PECOS Enrolled
2041 GEORGIA AVE NW, WASHINGTON, DC 20060(405) 313-3625 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2025, Apr 7, 2020 (2 updates tracked since 2020).

About Dyrian Denae Wandick Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DYRIAN DENAE WANDICK MD (NPI 1164051439) is an individual student in an organized health care education/training program in Washington, District Of Columbia and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164051439
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDYRIAN DENAE WANDICKCredential: MD
Location Address2041 GEORGIA AVE NWWashington, DC 20060-0001
Mailing Address2041 Georgia Ave NwWashington, DC 20060-0001
Phone(405) 313-3625
Sole ProprietorNo
Enumeration DateApril 7, 2020
Last NPPES UpdateJune 5, 20252 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1164051439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2041 GEORGIA AVE NW, Washington, DC 20060
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dyrian Denae Wandick Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHERYL JACOB DESBORDES
Speech-Language Pathologist
2041 GEORGIA AVE NW
WASHINGTON, DC 20060
District of Columbia (202) 865-4424
DR. SAIMA M QURESHI M.D.
Ophthalmology
2041 GEORGIA AVE NW
WASHINGTON, DC 20060
District of Columbia (202) 865-6100
DR. MICHAEL CHOI DDS
Dentist (Oral and Maxillofacial Surgery)
2041 GEORGIA AVE NW
WASHINGTON, DC 20060
District of Columbia (646) 239-7552
MUHAMMAD MAAZ KHALID ZUBERI MBBS
Student in an Organized Health Care Education/Training Program
2041 GEORGIA AVE NW, WASHINGTON, DC
WASHINGTON, DC 20060
District of Columbia (202) 865-7151
AKINOLA EMMANUEL OLADIMEJI
Student in an Organized Health Care Education/Training Program
2041 GEORGIA AVE NW
WASHINGTON, DC 20060
District of Columbia (646) 626-3940
NICKALOUS TREVINO
Student in an Organized Health Care Education/Training Program
2041 GEORGIA AVE NW
WASHINGTON, DC 20060
District of Columbia (202) 865-6100
AUGUSTINA ADARKU ANADOR
Student in an Organized Health Care Education/Training Program
2041 GEORGIA AVE NW
WASHINGTON, DC 20060
District of Columbia (202) 865-4359
JAYA SINGH PERERA MD
Student in an Organized Health Care Education/Training Program
2041 GEORGIA AVE NW
WASHINGTON, DC 20060
District of Columbia (240) 246-5647

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dyrian Wandick's NPI number?

The NPI number for Dyrian Wandick is 1164051439. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Where is Dyrian Wandick located?

Dyrian Wandick practices at 2041 Georgia Ave NW, Washington, DC 20060. The listed phone number is (405) 313-3625.

What is Dyrian Wandick's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Dyrian Wandick enrolled in Medicare?

Yes. Dyrian Wandick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dyrian Wandick was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.