Individual provider Active NPI

David J Wendt, MD

  • Cardiovascular Disease Physician
  • Chattanooga, TN
National Provider Identifier
1285633545
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25998 Issued in TN
Practice address
2339 McCallie Ave Ste 300
Chattanooga, TN 37404-3209
Phone
(423) 508-6733
Fax
(423) 508-6744
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 25998 TN
Cardiovascular Disease Physician 207RC0000X 25998 TN Primary

Addresses

Primary practice location

2339 McCallie Ave Ste 300
Chattanooga, TN 37404-3209

Mailing address

2339 McCallie Ave Ste 300
Chattanooga, TN 37404-3209
Phone (423) 508-6733

Other identifiers 1

IdentifierTypeStateIssuer
3086380MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20220914001583 TN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8628036852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centennial Heart LLCGroup PAC ID 9931204237, 121 clinicians

Practice addresses (Care Compare)

2339 McCallie Ave
Suite 300
Chattanooga, TN 37404-3209
Phone (423) 508-6733

Hospital & facility affiliations

  • Parkridge Medical Center Hospital, Chattanooga, TN, CCN 440156
  • Rhea Medical Center Hospital, Dayton, TN, CCN 441310
  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091

Merit-based Incentive Payment System (MIPS)

Final score
89.15 of 100Reported as individual
Quality
92.05
Promoting interoperability
99
Improvement activities
40
Cost
72.62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25998TNMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Heart LLC Cardiovascular Disease CurrentSince Oct 1, 2022 Accepting new patients
Cardiovascular Group, PC Cardiovascular Disease Current Accepting new patients
Ut Physicians Inc Past Accepting new patients

Locations

1825 Martha Berry Blvd NW
Rome, GA 30165
Phone (706) 238-8073

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2501 Citico Ave
Chattanooga, TN 37404
Phone (423) 697-2318

2339 McCallie Ave
Ste 300
Chattanooga, TN 37404
Phone (423) 508-6733

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

400 Berywood Trl NW
Ste A
Cleveland, TN 37312
Phone (423) 697-3560

2400 Patterson St
Ste 103
Nashville, TN 37203
Phone (615) 329-0929

Interoperability endpoints

  • Direct secure messaging: david.wendt@hca1.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1285633545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2339 MCCALLIE AVE STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043209",
            "telephone_number": "423-508-6733",
            "fax_number": "423-508-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 MCCALLIE AVE STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043209",
            "telephone_number": "423-508-6733",
            "fax_number": "423-508-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDT",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "TN",
            "license": "25998",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "25998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3086380",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.