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WAYNE D OLD MD NPI 1336115799


NPI Information

NPI: 1336115799
Provider Name: WAYNE D OLD, MD
Classification: Internal Medicine - 207RA0001X
Entity Type: Individual

Specialization: Advanced Heart Failure and Transplant Cardiology

PECOS Registration: Yes

Address:
612 KINGSBOROUGH SQ
SUITE 100
CHESAPEAKE, VA
ZIP 23320
Phone: (757) 547-9294
Get Directions

Wayne D Old, MD is an advanced heart failure and transplant cardiology internal medicine in Chesapeake, VA with 42 years of experience. The provider is specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure. Wayne D Old, MD NPI is 1336115799. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EASTERN VIRGINIA MEDICAL SCHOOL
Graduation Year:1982

The provider's business location address is:

612 KINGSBOROUGH SQ
SUITE 100
CHESAPEAKE, VA
ZIP 23320-041
Phone: (757) 547-9294
Fax: (757) 213-9374

The NPI 1336115799 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report (HCPCS:93010)
  • Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • Exercise or drug-induced heart and blood vessel stress test with ekg monitoring, physician interpretation and report (HCPCS:93018)
  • Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
  • Insertion of catheter for diagnostic evaluation of right heart structures (HCPCS:93451)
  • Evaluation of lower heart chamber assist device with physician analysis (HCPCS:93750)
  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)

The enumeration date for this NPI number is 2/27/2006 and was last updated on 5/3/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular Disease0101035590VIRGINIANo
2207RI0011XInternal MedicineInterventional Cardiology0101035590VIRGINIANo
3207RA0001XInternal MedicineAdvanced Heart Failure and Transplant Cardiology0101035591VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1263654OTHERVIRGINIAUHC/MAMSI/MDIPA
275288OTHERVIRGINIASENTARA OHP/SHP
3PAROTHERVIRGINIACIGNA
4PAROTHERVIRGINIAFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
50570ROTHERNORTH CAROLINABC/BS NC
6259544OTHERVIRGINIAANTHEM BCBS
7PAROTHERVIRGINIAVPH
8PAROTHERVIRGINIAAETNA PPO
9250366OTHERVIRGINIAATHEM BC/BS VA/HK
10PAROTHERVIRGINIAVHN/PHCS
11PAROTHERVIRGINIAMULTIPLAN
12PAROTHERVIRGINIAUSA MANAGED CARE
13006010393MEDICAIDVIRGINIA
14PAROTHERVIRGINIAMID-ATLANTIC VICARE
15PAROTHERVIRGINIACORVEL/CORCARE
16-001OTHERVIRGINIACHAMPUS/TRICARE
1715071OTHERVIRGINIAOPTIMA/SENTARA
18890570RMEDICAIDNORTH CAROLINA
19006059066MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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