MAX WENTLANDT M.D.
NPI 1972946069
Student in an Organized Health Care Education/Training Program in Seattle, WA

Active since April 09, 2013PECOS EnrolledAccepts Medicare Assignment
1CT89, 325 NINTH AVENUE, SEATTLE, WA 98104(414) 217-6392 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Max Wentlandt M.d. NPPES

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

MAX WENTLANDT M.D. (NPI 1972946069) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (2013).

NPPES Registry Identity

NPI1972946069
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMAX WENTLANDTCredential: M.D.
Location Address1CT89, 325 NINTH AVENUESeattle, WA 98104-2499
Mailing AddressPo Box 359702Seattle, WA 98195-9702
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2013
Enumeration DateApril 9, 2013
Last NPPES UpdateDecember 20, 2021
NPPES CertifiedDecember 20, 2021
✔ NPI 1972946069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1CT89, 325 NINTH AVENUE, Seattle, WA 98104

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Max Wentlandt M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991024325
PECOS Enrollment IDI20170919003482
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.

Medicare Billing Reassignment

Medicare enrollment records show Max Wentlandt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group

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 Max Wentlandt's NPI number?

The NPI number for Max Wentlandt is 1972946069. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Where is Max Wentlandt located?

Max Wentlandt practices at 1ct89, 325 Ninth Avenue, Seattle, WA 98104. The listed phone number is (414) 217-6392.

What is Max Wentlandt's specialty?

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

Is Max Wentlandt enrolled in Medicare?

Yes. Max Wentlandt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Max Wentlandt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Max Wentlandt reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). The 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 Max Wentlandt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Max Wentlandt was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.