Individual provider Active NPI

Carl Wayne Dowden, M.D.

  • Pediatrics Physician
  • Roanoke, VA
National Provider Identifier
1235525957
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101275442 Issued in VA
Practice address
4040 Postal Dr
Roanoke, VA 24018-6438
Phone
(540) 772-4453
Fax
(540) 772-4717
NPI assigned
Apr 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 52895 KY
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 0101275442 VA Primary

Addresses

Primary practice location

4040 Postal Dr
Roanoke, VA 24018-6438

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5715

Other practice location 1

740 S Limestone Ste J201
Lexington, KY 40536-7001
Phone (859) 323-6469

Other practice location 2

800 Rose St
Lexington, KY 40536-7001
Phone (859) 218-0921

Other identifiers 1

IdentifierTypeStateIssuer
52895OtherKYMEDICAL LICENSE

Other names 1

  • Dr. Wayne Dowden Professional name

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
I20220808002616 VA Practitioner - Pediatric Medicine 7315253747 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Healthcare Corporation CurrentSince Aug 15, 2022 Accepting new patients
Carilion Medical Center CurrentSince Aug 15, 2022 Accepting new patients
Carilion Medical Center CurrentSince Aug 15, 2022 Accepting new patients
Carilion Healthcare Corporation CurrentSince Aug 15, 2022 Accepting new patients
Carilion Medical Center Past Accepting new patients

Locations

60 Market Center Way
Daleville, VA 24083
Phone (540) 992-1251

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

4040 Postal Dr
Roanoke, VA 24018
Phone (540) 772-4453

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

4348 Electric Rd
Roanoke, VA 24018
Phone (540) 769-0600

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

Interoperability endpoints

  • Direct secure messaging: cdowden32771@ukhcdirect.org
  • Direct secure messaging: cdowden150267@direct.carilionclinic.org

Organizations & group practices 5

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": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1235525957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713",
            "telephone_number": "540-224-5715",
            "fax_number": "540-224-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 POSTAL DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240186438",
            "telephone_number": "540-772-4453",
            "fax_number": "540-772-4717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 S Limestone Ste J201",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405367001",
            "country_code": "US",
            "telephone_number": "859-323-6469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Rose St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405367001",
            "country_code": "US",
            "telephone_number": "859-218-0921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOWDEN",
        "first_name": "CARL",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-09",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "52895",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101275442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "52895",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WAYNE",
            "last_name": "DOWDEN",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.