NPIMap

Individual provider Active NPI

Abdul Wase, MD

  • Clinical Cardiac Electrophysiology Physician
  • Dayton, OH
National Provider Identifier
1306833363
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
35057815 Issued in OH
Practice address
9000 N Main St
Ste 101
Dayton, OH 45415-1180
Phone
(937) 832-2425
Fax
(937) 832-9804
NPI assigned
Oct 4, 2005
Last updated
Oct 23, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35057815 OH
Clinical Cardiac Electrophysiology Physician 207RC0001X 35057815 OH Primary

Addresses

Primary practice location

9000 N Main St
Ste 101
Dayton, OH 45415-1180

Mailing address

9000 N Main St
Ste 101
Dayton, OH 45415-1180
Phone (937) 832-2425

Other identifiers 1

IdentifierTypeStateIssuer
0110749MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070222000123 OH Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3476655481 Reassigns benefits to 1 organization
I20251111003802 WV Practitioner - Cardiac Electrophysiology 3476655481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

401 Division St
Suite 105
South Charleston, WV 25309-1455
Phone (304) 767-7890

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
66.25
Promoting interoperability
100
Improvement activities
40
Cost
71.69

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35057815OHMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation Current Accepting new patients
Premier Health Specialists Inc Cardiovascular Disease Current Accepting new patients
West Virginia University Medical Corporation CurrentSince Aug 3, 2025 Accepting new patients
Premier Health Specialists Inc CurrentSince Mar 19, 2012 Accepting new patients
West Virginia University Medical Corporation CurrentSince Aug 3, 2025 Accepting new patients
Premier Health Specialists Inc CurrentSince Mar 19, 2012 Accepting new patients
Non-Invasive Interpretations Cardiovascular Disease Past Accepting new patients
Premier Heart Associates, Inc Cardiovascular Disease Past Accepting new patients
Premier Heart Associates, Inc Cardiovascular Disease Past Accepting new patients
Dayton Cardiac Electrophysiology Associates, Inc. Clinical Cardiac Electrophysiology PastSince Oct 30, 1995 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Premier Heart Associates , Inc Cardiovascular Disease Past Accepting new patients

Locations

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

9000 N Main St
Ste 101
Englewood, OH 45415

9000 N Main St
Ste 302
Englewood, OH 45415

25 W Harding Rd
Springfield, OH 45504
Phone (937) 399-0453

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

401 Division St
Ste 105
South Charleston, WV 25309
Phone (304) 767-7890

401 Division St
Ste 106
South Charleston, WV 25309
Phone (304) 766-4403

Organizations & group practices 12

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 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1306833363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 N MAIN ST",
            "address_2": "STE 101",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151180",
            "telephone_number": "937-832-2425",
            "fax_number": "093-832-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 N MAIN ST",
            "address_2": "STE 101",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151180",
            "telephone_number": "937-832-2425",
            "fax_number": "937-832-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASE",
        "first_name": "ABDUL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35057815",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "OH",
            "license": "35057815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0110749",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.