DR. DOUGLAS J WUNDERLY MD NPI 1952321952

NPI Information

  • NPI: 1952321952
  • Provider Name: DR. DOUGLAS J WUNDERLY, MD
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 601 JOHN ST
    STE 100
    KALAMAZOO, MI
    ZIP 49007
  • Phone: (269) 373-1592

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NPI Details

DR. Douglas J Wunderly, MD is a cardiovascular disease internal medicine in Kalamazoo, MI with 41 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Douglas J Wunderly, MD NPI is 1952321952. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1984

The provider's business location address is:

601 JOHN ST
STE 100
KALAMAZOO, MI
ZIP 49007-341
Phone: (269) 373-1592
Fax: (269) 373-6270

The NPI 1952321952 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.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist (HCPCS:93458)
  • Electrocardiogram (ecg) 2-day continuous with review by health care professional (HCPCS:93227)
  • Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days (HCPCS:93296)
  • Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days (HCPCS:93294)
  • Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch (HCPCS:92928)
  • Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days (HCPCS:93244)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Programming of dual lead pacemaker system (HCPCS:93280)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician (HCPCS:93018)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional (HCPCS:93272)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Electrocardiogram (ecg) 2-day continuous with review by health care professional (HCPCS:93227)
  • Heart rhythm review and interpretation of continous external ekg over 8-15 days (HCPCS:93248)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist (HCPCS:93459)
  • Heart rhythm recording continous external ekg over more than 48 hours up to 7 days (HCPCS:93242)
  • Insertion of pacemaker and upper and lower heart chamber electrode (HCPCS:33208)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Removal of plaque and blood clot, insertion of stent and/or balloon dilation of single vessel (HCPCS:92941)
  • Ultrasound of heart, follow-up (HCPCS:93308)
  • Coronary angioplasty and stenting (HCPCS:NAN05)
  • Pacemaker insertion or repair (HCPCS:NAN10)

The enumeration date for this NPI number is 7/20/2006 and was last updated on 11/27/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular Disease4301405380MICHIGANYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11417961137OTHERMICHIGANBCBSM - BRONSON
21952321952MEDICAIDMICHIGAN

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: 3/30/2025

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