David Royal Warden IV, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

246237 Issued in NC

Practice address

30 Memorial Dr
Pinehurst, NC 28374-8707

Phone

(910) 295-4400

NPI assigned

Mar 25, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Diagnostic Radiology

Education

Toledo Medical College, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinehurst Radiology Group P a 20 clinicians

First Imaging of the Carolinas 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Firsthealth Moore Regional Hospital Hospital, Pinehurst, NC, CCN 340115
• Firsthealth Montgomery Memorial Hosp Hospital, Troy, NC, CCN 341303

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• First Imaging of the Carolinas

  • Physiological Laboratory
  • Pinehurst, NC
  • NPI 1437196318

  Diagnostic Radiology, NC

  Medicare reassignment Care Compare group NPD
• Pinehurst Radiology Group P a

  • Specialist
  • Pinehurst, NC
  • NPI 1861445686

  NC

  Medicare reassignment Care Compare group NPD
• Pinehurst Radiology Associates

  • Specialist
  • Pinehurst, NC
  • NPI 1073567244

  NC

  Medicare reassignment
• MCPC-19, LLC

  • Physiological Laboratory
  • Pinehurst, NC
  • NPI 1720880404

  Diagnostic Radiology

  NPD
• MCPC-27, LLC

  • Diagnostic Radiology Physician
  • Star, NC
  • NPI 1144002189

  Diagnostic Radiology

  NPD
• Southern Pines Diagnostic Imaging, LLC

  • Physiological Laboratory
  • Southern Pines, NC
  • NPI 1467068833

  Diagnostic Radiology

  NPD

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

• Firsthealth of the Carolinas, Inc

  • Critical Access Hospital
  • Troy, NC
  • NPI 1336167675

  Hospital

  Care Compare affiliation
• Firsthealth of the Carolinas, Inc

  • Obesity Medicine (Internal Medicine) Physician
  • Pinehurst, NC
  • NPI 1740463967

  Hospital

  Care Compare affiliation
• Firsthealth of the Carolinas, Inc

  • Land Ambulance
  • Pinehurst, NC
  • NPI 1871610378

  Hospital

  Care Compare affiliation
• Firsthealth of the Carolinas, Inc.

  • Oncology Clinic/Center
  • Pinehurst, NC
  • NPI 1417010422

  Hospital

  Care Compare affiliation
• Firsthealth of the Carolinas, Inc.

  • General Acute Care Hospital
  • Pinehurst, NC
  • NPI 1740208081

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1801213129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MEMORIAL DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748707",
            "telephone_number": "910-295-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MEMORIAL DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748707",
            "telephone_number": "910-295-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 N Orange Ave",
            "address_2": "Suite 235",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328044603",
            "country_code": "US",
            "telephone_number": "407-303-7133",
            "fax_number": "407-303-7323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Manning Dr Cb# 7510",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275994220",
            "country_code": "US",
            "telephone_number": "919-966-4180",
            "fax_number": "919-843-8740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARDEN",
        "first_name": "DAVID",
        "middle_name": "ROYAL",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-25",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "246237",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2019-00283",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Dean Walters, MD
• Walter Gregory Walton, PH.D.
• Elizabeth Barrineau Ward, LCSW
• Shanice Ward
• Victoria Ward
• Raymond G. Washington, MD
• Toni Anne Washington, MD
• Ashley Alexander Watkins, D.C.
• Maryjo A Watkins, CRNA
• Courtney Michelle Watlington, PA

• All providers in Pinehurst, NC
• Diagnostic Radiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.

Verify at the official NPI Registry.