NPIMap

Individual provider Active NPI

Gregory J Wcisel, MD

  • Pulmonary Disease Physician
  • Virginia Beach, VA
National Provider Identifier
1033125927
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
0101229777 Issued in VA
Practice address
1168 First Colonial Rd Ste 100
Virginia Beach, VA 23454-2444
Phone
(757) 481-2515
Fax
(757) 481-4064
NPI assigned
Jul 31, 2006
Last updated
Nov 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 44622 WI
Pulmonary Disease Physician 207RP1001X 0101229777 VA Primary

Addresses

Primary practice location

1168 First Colonial Rd Ste 100
Virginia Beach, VA 23454-2444

Mailing address

PO Box 7068
Portsmouth, VA 23707-0068
Phone (757) 686-3508

Other identifiers 1

IdentifierTypeStateIssuer
34223300MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160718000809 NC Practitioner - Pulmonary Disease 9537295985 Reassigns benefits to 1 organization
I20171016001015 VA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 9537295985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Loyola University of Chicago, Stritch School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayview Physician Services PCGroup PAC ID 5597664201, 311 clinicians

Practice addresses (Care Compare)

1168 1St Colonial Rd
Virginia Beach, VA 23454-2426
Phone (757) 352-2020

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Norman Pulmonary & Sleep, PA Pulmonary Disease CurrentSince Jul 8, 2016 Accepting new patients
Bayview Physician Services, PC Pulmonary Disease CurrentSince Dec 1, 2019 Accepting new patients
Bayview Physician Services, PC CurrentSince Dec 1, 2019 Accepting new patients
Columbus Regional Health Network Past Accepting new patients
Bayview Medical Center, Inc PastSince Nov 17, 2019 Accepting new patients
Bayview Physician Services, PC Past Accepting new patients

Locations

123 Professional Park Dr
Ste 200
Mooresville, NC 28117
Phone (423) 343-7016

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

3241 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 686-3500

3241 Western Branch Blvd
Ste A
Chesapeake, VA 23321

1168 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 352-2020

1168 First Colonial Rd
Ste 100
Virginia Beach, VA 23454
Phone (757) 352-2020

1168 First Colonial Rd
Ste 101
Virginia Beach, VA 23454
Phone (757) 352-2030

Interoperability endpoints

  • Direct secure messaging: gregory.wcisel@bayview.eclinicaldirectplus.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1033125927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7068",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237070068",
            "telephone_number": "757-686-3508",
            "fax_number": "757-686-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1168 FIRST COLONIAL RD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542444",
            "telephone_number": "757-481-2515",
            "fax_number": "757-481-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WCISEL",
        "first_name": "GREGORY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WI",
            "license": "44622",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101229777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34223300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.