Individual provider Active NPI

Thomas Earl Wheeler III, MD

  • Interventional Cardiology Physician
  • Fredericksburg, VA
National Provider Identifier
1093702813
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
0101030309 Issued in VA
Practice address
1201 Sam Perry Blvd
Suite 280
Fredericksburg, VA 22401-4490
Phone
(540) 361-2922
Fax
(540) 361-2927
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 0101030309 VA Primary

Addresses

Primary practice location

1201 Sam Perry Blvd
Suite 280
Fredericksburg, VA 22401-4490

Mailing address

1201 Sam Perry Blvd
Suite 280
Fredericksburg, VA 22401-4490
Phone (540) 361-2922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20040329001476 VA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician)Practitioner - Interventional Cardiology 4688566078 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101030309VAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spotsylvania Medical Center Inc. CurrentSince Apr 1, 2016 Accepting new patients
Stafford Hospital, LLC CurrentSince Sep 23, 2018 Accepting new patients
Pathology Associates of Fredericksburg PTR Current Accepting new patients
Spotsylvania Medical Center Inc Current Accepting new patients
Mary Washington Hospital Inc. CurrentSince Aug 30, 1989 Accepting new patients
Stafford Hospital, LLC CurrentSince Sep 23, 2018 Accepting new patients
Mary Washington Hospital, Inc. CurrentSince Aug 30, 1989 Accepting new patients
Mary Washington Healthcare Physicians Current Accepting new patients
Pratt Medical Center LTD Past Accepting new patients
Pratt Medical Center LTD Past Accepting new patients

Locations

4604 Spotsylvania Pkwy
Ste 340
Fredericksburg, VA 22408
Phone (540) 200-8272

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000

12101 Carol Ln
Fredericksburg, VA 22407
Phone (540) 368-7835

4604 Spotsylvania Pkwy
Ste 220
Fredericksburg, VA 22408
Phone (540) 361-2922

1201 Sam Perry Blvd
Ste 280
Fredericksburg, VA 22401
Phone (540) 361-2922

1101 Sam Perry Blvd
Ste 204
Fredericksburg, VA 22401
Phone (540) 368-5370

101 Hospital Center Blvd
Stafford, VA 22554
Phone (540) 741-3340

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1093702813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SAM PERRY BLVD",
            "address_2": "SUITE 280",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014490",
            "telephone_number": "540-361-2922",
            "fax_number": "540-361-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SAM PERRY BLVD",
            "address_2": "SUITE 280",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014490",
            "telephone_number": "540-361-2922",
            "fax_number": "540-361-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "THOMAS",
        "middle_name": "EARL",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "VA",
            "license": "0101030309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.