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HOWARD ELVINDO WIARDA MD NPI 1801881255


NPI Information

NPI: 1801881255
Provider Name: HOWARD ELVINDO WIARDA, MD
Classification: Radiology - 2085R0204X
Entity Type: Individual

Specialization: Vascular & Interventional Radiology

PECOS Registration: Yes

Address:
100 NAVARRE PL STE 5500
SOUTH BEND, IN
ZIP 46601
Phone: (574) 647-5200
Get Directions

Howard Elvindo Wiarda, MD is a vascular and interventional radiology radiology in South Bend, IN with 30 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. Howard Elvindo Wiarda, MD NPI is 1801881255. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduation Year:1994

The provider's business location address is:

100 NAVARRE PL STE 5500
SOUTH BEND, IN
ZIP 46601-172
Phone: (574) 647-5200

The NPI 1801881255 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.

  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • Ultrasound study of arteries of both arms and legs (HCPCS:93922)
  • Ultrasound guidance for accessing into blood vessel (HCPCS:76937)
  • Radiological supervision and interpretation of ct guidance for needle insertion (HCPCS:77012)
  • Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)
  • Fluoroscopic guidance for insertion, replacement or removal of central venous access device (HCPCS:77001)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)

The enumeration date for this NPI number is 9/13/2005 and was last updated on 4/6/2021.


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
12085B0100XRadiologyBody Imaging01052406INDIANANo
22085R0203XRadiologyTherapeutic Radiology01052406INDIANANo
32085R0204XRadiologyVascular & Interventional Radiology01052406INDIANAYes
42085U0001XRadiologyDiagnostic Ultrasound01052406INDIANANo

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
1200261430MEDICAIDINDIANA
2M16930802OTHERINDIANAMEDICARE- BMG VEIN SPECIALISTS
3M16930802OTHERINDIANAMEDICARE- BMG VASCULAR INTERVENTIONAL RADIOLOGY

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.