DR. CARL WAYNE DOWDEN M.D.
NPI 1235525957
Pediatrics in Roanoke, VA

Q: What is Carl Dowden's NPI number?

The NPI number for Carl Dowden is 1235525957. It was assigned to this individual provider in the NPPES registry on April 9, 2015. The provider is also known as Dr. Wayne Dowden.

Q: What is Carl Dowden's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Carl Dowden was last updated on August 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 09, 2015PECOS Enrolled

4040 POSTAL DR, ROANOKE, VA 24018(540) 772-4453(540) 772-4717 Get Directions Write a Review

NPPES record last updated: August 18, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 18, 2022, Aug 10, 2022, Dec 6, 2019 and 1 more (4 updates tracked since 2019).

On this page

About Dr. Carl Wayne Dowden M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CARL WAYNE DOWDEN M.D. (NPI 1235525957) is an individual pediatrics provider in Roanoke, Virginia, licensed in Virginia (0101275442) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1235525957

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. CARL WAYNE DOWDENCredential: M.D.

Location Address4040 POSTAL DRRoanoke, VA 24018-6438

Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713 · (540) 224-5715 · Fax (540) 224-5684

Phone(540) 772-4453

Fax(540) 772-4717

Sole ProprietorNo

Enumeration DateApril 9, 2015

Last NPPES UpdateAugust 18, 20224 updates tracked since enumeration

NPPES CertifiedAugust 18, 2022

✔ NPI 1235525957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in VA · 0101275442✔ Licensed in KY · 52895

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4040 POSTAL DR, Roanoke, VA 24018

Open in Google Maps ↗

Other Names 1

Professional Name (2)Dr. Wayne Dowden

Secondary Practice Locations 2

Location 1740 S Limestone Ste J201Lexington, KY 40536-7001 · Phone (859) 323-6469

Location 2800 Rose StLexington, KY 40536-7001 · Phone (859) 218-0921

Other Identifiers 1

Other52895KY · Medical License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carl Wayne Dowden M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Carl Dowden reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carilion Medical Center

3.8 mi

Dental

2017 JEFFERSON ST SW
Roanoke, VA 24014

Reassigned Medicare billing, Virginia enrollment
1,207 clinicians in this Medicare group

NPI 1114399276 (540) 981-7128

Carilion Healthcare Corporation

4.6 mi

Multi-Specialty

213 S JEFFERSON ST STE 1006
Roanoke, VA 24011

Reassigned Medicare billing, Virginia enrollment
956 clinicians in this Medicare group

NPI 1447206370 (540) 224-5452

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24018 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

QUIANNA SHANEA FLOOD CPNP-PC

Nurse Practitioner (Pediatrics)

4040 POSTAL DR
ROANOKE, VA 24018

Roanoke County (540) 772-4453

DR. AMY KATHLEEN BARNHART M.D.

Pediatrics

4040 POSTAL DR, CARILION PEDIATRIC MEDICINE
ROANOKE, VA 24018

Roanoke County (540) 772-4453

WILLIAM H CRAFT JR. MD

Pediatrics

4040 POSTAL DR
ROANOKE, VA 24018

Roanoke County (540) 772-4453

DALTON MARK RENICK DO

Pediatrics

4040 POSTAL DR
ROANOKE, VA 24018

Roanoke County (540) 772-4453

DR. MARK A PATTERSON MD

Pediatrics

4040 POSTAL DR
ROANOKE, VA 24018

Roanoke County (540) 772-4453

CHRISTOPHER PIERCE MD

Pediatrics

4040 POSTAL DR
ROANOKE, VA 24018

Roanoke County (540) 772-4453

SHELLEY BYRD NP

Nurse Practitioner

4040 POSTAL DR
ROANOKE, VA 24018

Roanoke County (540) 772-4453

KATHY AMOROSO MD

Pediatrics

4040 POSTAL DR
ROANOKE, VA 24018

Roanoke County (540) 772-4453

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carl Dowden's NPI number?

The NPI number for Carl Dowden is 1235525957. It was assigned to this individual provider in the NPPES registry on April 9, 2015. The provider is also known as Dr. Wayne Dowden.

Where is Carl Dowden located?

Carl Dowden practices at 4040 Postal Dr, Roanoke, VA 24018. The listed phone number is (540) 772-4453.

What is Carl Dowden's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Carl Dowden enrolled in Medicare?

Yes. Carl Dowden is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carl Dowden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carl Dowden reassigns Medicare benefits to 2 organizations: Carilion Medical Center (Roanoke, VA) and Carilion Healthcare Corporation (Roanoke, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carl Dowden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carl Dowden was last updated on August 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.