Individual provider Active NPI

Thomas Michael Wiley, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Hickory, NC
National Provider Identifier
1144285123
Registry record updated Dec 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
200500347 Issued in NC
Practice address
1771 Tate Blvd SE
Suite 201
Hickory, NC 28602-4249
Phone
(828) 324-4804
Fax
(828) 324-7256
NPI assigned
Apr 20, 2006
Last updated
Dec 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 200500347 NC Primary

Addresses

Primary practice location

1771 Tate Blvd SE
Suite 201
Hickory, NC 28602-4249

Mailing address

1771 Tate Blvd SE
Suite 201
Hickory, NC 28602-4249
Phone (828) 324-4804

Other identifiers 2

IdentifierTypeStateIssuer
141E1OtherNCBCBS PROVIDER ID#
5903019MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20060106000561 NC Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1850314626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Uniformed Services Uhs Fe Hebert School of Med, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DLP Frye Medical Group LLCGroup PAC ID 8123397601, 125 clinicians

Practice addresses (Care Compare)

2660 Tate Blvd SE
Hickory, NC 28602-1465
Phone (828) 261-0009

915 Tate Blvd SE
Hickory, NC 28602-4042

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200500347NCMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hickory Cardiology Associates PLLC CurrentSince Oct 1, 1997 Accepting new patients
DLP Frye Medical Group LLC CurrentSince Jun 1, 2017 Accepting new patients
DLP Frye Medical Group LLC CurrentSince Jun 1, 2017 Accepting new patients
Cardiology Physicians Corporation, LLC Current Accepting new patients

Locations

1771 Tate Blvd SE
Ste 201
Hickory, NC 28602
Phone (828) 324-4804

2660 Tate Blvd SE
Hickory, NC 28602
Phone (828) 261-0009

915 Tate Blvd SE
Ste 182
Hickory, NC 28602
Phone (828) 322-2005

915 Tate Blvd SE
Ste 186
Hickory, NC 28602
Phone (828) 449-8458

137 W Parker Rd
Ste Bc
Morganton, NC 28655
Phone (828) 430-9050

Organizations & group practices 4

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 1

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386115200000",
    "number": "1144285123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 TATE BLVD SE",
            "address_2": "SUITE 201",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024249",
            "telephone_number": "828-324-4804",
            "fax_number": "828-324-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 TATE BLVD SE",
            "address_2": "SUITE 201",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024249",
            "telephone_number": "828-324-4804",
            "fax_number": "828-324-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2013-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NC",
            "license": "200500347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID#",
            "identifier": "141E1",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903019",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.