Active NPI
William Paul Magdycz Jr., M.D.
- Otolaryngology Physician
- Portsmouth, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 0101240579
- Practice address
- Naval Medical Center Portsmouth
620 John Paul Jones Circle
Portsmouth, VA 23708-2197 - Phone
- (757) 953-2831
- Fax
- (757) 953-0166
- NPI assigned
- Jul 5, 2005
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 73576 | MA | |
| Otolaryngology Physician | 207Y00000X | 35087 | TN | |
| Otolaryngology Physician | 207Y00000X | 35273 | KY | |
| Otolaryngology Physician | 207Y00000X | 0101240579 | VA | Primary |
Addresses
Primary practice location
Naval Medical Center Portsmouth
620 John Paul Jones Circle
Portsmouth, VA 23708-2197
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5715
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wmagdycz32767@direct.carilionclinic.org | Direct |
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
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Elm Ave
Roanoke, VA 24013-2222
Phone (540) 224-4380
101 Elm Ave SE
FL 3
Roanoke, VA 24013-2222
Phone (540) 224-6780
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 981-7000
2017 Jefferson St SW
Roanoke, VA 24014-2419
Phone (540) 981-7925
2017 S Jefferson St
Roanoke, VA 24014-2419
Phone (540) 981-7128
4348 Electric Rd
Roanoke, VA 24018-0720
Phone (540) 769-0976
Hospital & facility affiliations
- Carilion Medical Center
- Carilion New River Valley Medical Center
- Carilion Franklin Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 16 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35273 | KY | MD | Otolaryngology Physician |
| 73576 | MA | MD | Otolaryngology Physician |
| 35087 | TN | MD | Otolaryngology Physician |
| 0101240579 | VA | MD | Otolaryngology Physician |
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
213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353
6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110
1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222
4348 Electric Rd
Roanoke, VA 24018
Phone (540) 769-0600
213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677
3 Riverside Cir
Roanoke, VA 24016
2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128
Interoperability endpoints
- wmagdycz32767@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 1730123472
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1447206370
-
- 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
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rocky Mount, VA
- NPI 1710970918
-
- General Acute Care Hospital
- Roanoke, VA
- NPI 1033102942
-
- General Acute Care Hospital
- Christiansburg, VA
- NPI 1376536573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659916800000",
"number": "1437156577",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NAVAL MEDICAL CENTER PORTSMOUTH",
"address_2": "620 JOHN PAUL JONES CIRCLE",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237082197",
"telephone_number": "757-953-2831",
"fax_number": "757-953-0166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGDYCZ",
"first_name": "WILLIAM",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-05",
"last_updated": "2022-08-08",
"certification_date": "2022-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MA",
"license": "73576",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TN",
"license": "35087",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "KY",
"license": "35273",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "VA",
"license": "0101240579",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wmagdycz32767@direct.carilionclinic.org",
"affiliation": "N",
"endpointDescription": "wmagdycz32767@direct.carilionclinic.org",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3 Riverside Cir",
"city": "Roanoke",
"state": "VA",
"country_code": "US",
"postal_code": "240164955",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.