Individual provider

Justin Waltrous, MD

Sports Medicine (Physical Medicine & Rehabilitation) Physician Medicare enrolled

Justin Waltrous, MD is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Pasadena, MD, registered under NPI 1679890636. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 8096 EDWIN RAYNOR BLVD STE C, Pasadena, MD 21122. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

8096 EDWIN RAYNOR BLVD STE C, Pasadena, MD 21122 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
D77249 MD Sports Medicine (Physical Medicine &… primary

This provider holds licence D77249 issued in MD. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Physical Medicine And Rehabilitation
PAC ID
2961706601

Enrolled in Medicare 3 times, across 3 states:

StateEnrollment IDProvider type
Maryland I20160201001945 Practitioner - Physical Medicine And Rehabilitation
District of Columbia I20171117001849 Practitioner - Internal Medicine
Virginia I20260216001945 Practitioner - Physical Medicine And Rehabilitation

Medicare enrolment is recorded as approved under the provider type Practitioner - Physical Medicine And Rehabilitation. There are 3 separate enrolment records across 3 states (MD, DC, VA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Sports Medicine covers

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. NUCC Health Care Provider Taxonomy, code 2081S0010X
Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation Sports Medicine

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1679890636 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 29, 2010
Last updatedFeb 6, 2026
StatusActive
Sole proprietorYes
CredentialMD
Practice address 8096 EDWIN RAYNOR BLVD STE C
Pasadena, MD 21122
(443) 702-2453
Fax (443) 702-2478
Mailing address 3375 ELLICOTT CENTER DRIVE PO BOX 540
Ellicott City, MD 21043
This record was updated on Feb 6, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1679890636 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 7 9 8 9 0 6 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 5 9 7 9 0 6 6

Sum = 74 · next multiple of 10 = 80 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1679890636?
NPI 1679890636 is the National Provider Identifier assigned to Justin Waltrous, MD in Pasadena, MD. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Sports Medicine cover?
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine…
How do I contact Justin Waltrous, MD?
The phone number on file with NPPES is (443) 702-2453, last updated Feb 6, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Justin Waltrous, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1679890636 a valid number?
Yes. 1679890636 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.