Individual provider Active NPI

Harold J Wheeler, M.D.

  • Internal Medicine Physician
  • Greenwood, MS
National Provider Identifier
1730270786
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10035 Issued in MS
Practice address
517 Highway 82 W
Greenwood, MS 38930-5030
Phone
(662) 455-6767
Fax
(662) 455-1774
NPI assigned
Sep 27, 2006
Last updated
Jul 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10035 MS Primary

Addresses

Primary practice location

517 Highway 82 W
Greenwood, MS 38930-5030

Mailing address

PO Box 1179
Greenwood, MS 38935-1179
Phone (662) 455-6767

Other identifiers 3

IdentifierTypeStateIssuer
110016319OtherMSRAILROAD MEDICARE NUMBER
110138588OtherMSRAILROAD MEDICARE
06785238MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20101203000693 MS Practitioner - Internal Medicine 6800081027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Mississippi School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenwood Comprehensive Medical ClinicGroup PAC ID 7911192133, 2 clinicians

Practice addresses (Care Compare)

517 Hwy 82 W
Greenwood, MS 38930-5030
Phone (662) 455-6767

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
43.15 of 100Reported as individual
Quality
26.21
Improvement activities
0
Cost
92.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10035MSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwood Comprehensive Medical Clinic Internal Medicine CurrentSince Sep 25, 1985 Accepting new patients

Locations

517 Highway 82 W
Greenwood, MS 38930
Phone (662) 455-2091

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72861

Organizations & group practices 1

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 3

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1730270786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1179",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389351179",
            "telephone_number": "662-455-6767",
            "fax_number": "662-455-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 HIGHWAY 82 W",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389305030",
            "telephone_number": "662-455-6767",
            "fax_number": "662-455-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "HAROLD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "10035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "110016319",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110138588",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06785238",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, MS

Sources for this page

Verify at the official NPI Registry.