Individual provider Active NPI

Wayne F Poole, MD

  • Diagnostic Radiology Physician
  • Ocala, FL
National Provider Identifier
1336119080
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME75863 Issued in FL
Practice address
2230 SW 19TH Avenue Rd
Ocala, FL 34471-1391
Phone
(352) 237-4133
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME75863 FL Primary

Addresses

Primary practice location

2230 SW 19TH Avenue Rd
Ocala, FL 34471-1391

Mailing address

715 SE 36TH LN
Ocala, FL 34471-8716
Phone (352) 804-7786

Other identifiers 2

IdentifierTypeStateIssuer
262482600MedicaidFL
V2597OtherFLBLUE CROSS BLUE SHIELD OF FLORIDA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080208000466 FL Practitioner - Diagnostic Radiology 3779666045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Miami, LM Miller School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocala Family Medical Center IncGroup PAC ID 6608865290, 60 clinicians

Practice addresses (Care Compare)

2230 SW 19TH Ave Rd
Ocala, FL 34471-1391
Phone (352) 237-4133

Merit-based Incentive Payment System (MIPS)

Final score
82.76 of 100Reported as group
Quality
82.62
Promoting interoperability
77
Improvement activities
40
Cost
79.06

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Teleradiology, Inc. CurrentSince Nov 18, 2012 Accepting new patients
Ocala Family Medical Center, Inc. Diagnostic Radiology CurrentSince Sep 15, 2011 Accepting new patients
Ocala Health Imaging Services LLC Diagnostic Radiology Past Accepting new patients
Urology Health Team PLLC Diagnostic Radiology PastSince Sep 1, 2013 Accepting new patients
Express Care of Belleview, LLC Past Accepting new patients
Arun K Singh M.D.,P.a. Past Accepting new patients
Woodward Health System LLC Past Accepting new patients

Locations

2131 SW 20th Pl
Ocala, FL 34471
Phone (352) 237-4133

2230 SW 19th Avenue Rd
Ocala, FL 34471
Phone (352) 237-4133

Organizations & group practices 7

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1336119080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 SE 36TH LN",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344718716",
            "telephone_number": "352-804-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 SW 19TH AVENUE RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711391",
            "telephone_number": "352-237-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "WAYNE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME75863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262482600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF FLORIDA",
            "identifier": "V2597",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.