REGENWELL WOUND SPECIALTY GROUP - CENTRAL MD, LLC
NPI 1194540484
Family Medicine in Towson, MD

Q: What is Regenwell Wound Specialty Group - Central MD, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since November 20, 2024

100 WEST RD STE 300, TOWSON, MD 21204(240) 203-7988(240) 203-7988 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Regenwell Wound Specialty Group - Central Md, Llc NPPES

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

REGENWELL WOUND SPECIALTY GROUP - CENTRAL MD, LLC (NPI 1194540484) is a healthcare organization registered as a family medicine in Towson, Maryland and active in the NPI registry since November 2024. The organization lists Vivian Tan, Owner, as its authorized official.

NPPES Registry Identity

NPI1194540484

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameREGENWELL WOUND SPECIALTY GROUP - CENTRAL MD, LLC

Location Address100 WEST RD STE 300Towson, MD 21204-2370

Mailing Address100 West Rd Ste 300Towson, MD 21204-2370 · (240) 203-7988

Phone(240) 203-7988

Fax(240) 203-7988

Organization SubpartNo

Authorized OfficialVivian TanOwner · (443) 983-7125

Enumeration DateNovember 20, 2024

NPPES CertifiedNovember 20, 2024

✔ NPI 1194540484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

100 WEST RD STE 300, Towson, MD 21204

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Regenwell Wound Specialty Group - Central Md, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Regenwell Wound Specialty Group - Central MD, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Vivian Tan, NP-C

Nurse Practitioner

NPI 1649787011

6480 OLD WATERLOO RD
Elkridge, MD 21075

(410) 799-0291

✔ PECOS✔ Accepts Medicare18 mi

Mesay Gebresilassie, NP

Nurse Practitioner

NPI 1568918472

11120 NEW HAMPSHIRE AVE SUITE 309
Silver Spring, MD 20904

(240) 991-2197

✔ PECOS✔ Accepts Medicare33 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Regenwell Wound Specialty Group - Central MD, LLC's NPI number?

The NPI number for Regenwell Wound Specialty Group - Central MD, LLC is 1194540484. It was assigned to this organization in the NPPES registry on November 20, 2024.

Where is Regenwell Wound Specialty Group - Central MD, LLC located?

Regenwell Wound Specialty Group - Central MD, LLC is located at 100 West Rd Ste 300, Towson, MD 21204. The listed phone number is (240) 203-7988.

What is Regenwell Wound Specialty Group - Central MD, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Regenwell Wound Specialty Group - Central MD, LLC enrolled in Medicare?

Yes. Regenwell Wound Specialty Group - Central MD, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Regenwell Wound Specialty Group - Central MD, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Regenwell Wound Specialty Group - Central MD, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Regenwell Wound Specialty Group - Central MD, LLC was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.