DWIGHT V WOLF (MD) – Child & Adolescent Psychiatry Physician, NPI 1255499612

DWIGHT V WOLF (MD) is a healthcare provider. based in Galveston, Texas. specializing in Child & Adolescent Psychiatry Physician. They hold the professional credentials MD. They hold a License No. J0372 (TX). The NPI Number for DWIGHT V WOLF (MD) is 1255499612

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DWIGHT V WOLF (MD)
NPI
1255499612
Phone
(409) 772-0848
Address
301 University Blvd
Enumeration Date
5 December 2006
Last Update Date
24 February 2026

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
4097722222
Graduation Year
1990 (36 years ago)
PAC ID
6709937592
Group Practice PAC ID
3375456734
Professional Enrollment ID
I20090708000364
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DWIGHT V WOLF (MD)

  • 301 University Blvd

    route 1022

    Galveston, TX 775555302

    Phone: (409) 772-0848

    Fax: (409) 772-0885

    Type: Location

  • 400 N TEXAS AVE STE A

    WEBSTER, TX 775984961

    Phone: (281) 338-2798

    Fax: (281) 557-2027

    Type: Location

  • 301, University Boulevard - 6th Street, Galveston, Galveston County, Texas, 77550, United States

    ROUTE 1022

    GALVESTON, TX 775555302

    Phone: (409) 772-0848

    Fax: (409) 772-0885

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-07-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090708000364IPsychiatryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77555)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375456734View full group profile
NameSpecialtyState
-TX
-TX
-NY
Sleep Medicine, Critical Care (Intensivists)TX
Surgical OncologyNY
General SurgeryTN
General SurgeryGA
U R O L O G YNY
Nurse PractitionerTX
O B S T E T R I C S/ G Y N E C O L O G YTX

Reviews

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Frequently asked questions

How is DWIGHT V WOLF (MD) identified in CMS data?
CMS-hosted NPPES data lists DWIGHT V WOLF (MD) with NPI 1255499612.
Can I rely on DWIGHT V WOLF (MD) being an active provider?
As of the registry snapshot, DWIGHT V WOLF (MD) is marked active.
What taxonomy line describes DWIGHT V WOLF (MD)?
For research purposes, treat DWIGHT V WOLF (MD) as Child & Adolescent Psychiatry Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DWIGHT V WOLF (MD)?
DWIGHT V WOLF (MD)'s geographic hint is Galveston, Texas in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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