Active NPI
Carl Wayne Dowden, M.D.
- Pediatrics Physician
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101275442
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52895 | Other | KY | MEDICAL LICENSE |
Other names 1
- Dr. Wayne Dowden
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Healthcare Corporation | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| Carilion Healthcare Corporation | Current | 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
- cdowden32771@ukhcdirect.org
- 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.
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1447206370
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1730123472
-
- Durable Medical Equipment & Medical Supplies
- Blacksburg, VA
- NPI 1407667256
-
- Durable Medical Equipment & Medical Supplies
- Hardy, VA
- NPI 1073324810
-
- General Acute Care Hospital
- Roanoke, VA
- NPI 1033102942
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.