Individual provider Active NPI

Merle Lindy Wade Jr., MD

  • Urology Physician
  • Gadsden, AL
National Provider Identifier
1033167465
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
26924 Issued in AL
Practice address
713 Goodyear Ave
Gadsden, AL 35903-1156
Phone
(256) 492-4040
Fax
(256) 492-4017
NPI assigned
May 5, 2006
Last updated
Sep 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 26924 AL Primary

Addresses

Primary practice location

713 Goodyear Ave
Gadsden, AL 35903-1156

Mailing address

713 Goodyear Ave
Gadsden, AL 35903-1156
Phone (256) 492-4040

Other practice location 1

9524 US Highway 431
Albertville, AL 35950-0106
Phone (256) 492-4040

Other practice location 2

301 Medical Center Dr SW
Fort Payne, AL 35968-3420
Phone (256) 492-4040

Other identifiers 4

IdentifierTypeStateIssuer
C100OtherALCLINIC ID-GADSDEN
C373OtherALCLINIC ID-FT PAYNE
C243OtherALCLINIC ID-BOAZ
009937819MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060821000262 AL Practitioner - Urology 0547263196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Alabama School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1475 1St Ave SW
Jacksonville, AL 36265-3337
Phone (256) 492-4040

713 Goodyear Ave
Gadsden, AL 35903-1156
Phone (256) 492-4040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.45 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.5

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26924ALMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Urology Associates, P.C. Urology CurrentSince Jul 1, 2006 Accepting new patients
Clinical Urology Associates, P.C. Urology CurrentSince Jul 1, 2006 Accepting new patients
Cilinical Urology Associates, P.C. Urology Past Accepting new patients

Locations

9524 US Highway 431
Albertville, AL 35950

2001 Cades Ave SW
Fort Payne, AL 35968
Phone (256) 492-7404

301 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-0141

713 Goodyear Ave
Gadsden, AL 35903
Phone (256) 492-4017

1475 1st Ave SW
Jacksonville, AL 36265
Phone (256) 435-9386

Interoperability endpoints

  • Direct secure messaging: merlewade@cua.medalliesdirect.net

Organizations & group practices 3

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1033167465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 GOODYEAR AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031156",
            "telephone_number": "256-492-4040",
            "fax_number": "256-492-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 GOODYEAR AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031156",
            "telephone_number": "256-492-4040",
            "fax_number": "256-492-4017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9524 US Highway 431",
            "address_purpose": "LOCATION",
            "city": "Albertville",
            "state": "AL",
            "postal_code": "359500106",
            "country_code": "US",
            "telephone_number": "256-492-4040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Medical Center Dr SW",
            "address_purpose": "LOCATION",
            "city": "Fort Payne",
            "state": "AL",
            "postal_code": "359683420",
            "country_code": "US",
            "telephone_number": "256-492-4040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADE",
        "first_name": "MERLE",
        "middle_name": "LINDY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AL",
            "license": "26924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINIC ID-GADSDEN",
            "identifier": "C100",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINIC ID-FT PAYNE",
            "identifier": "C373",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINIC ID-BOAZ",
            "identifier": "C243",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009937819",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.