DR. WILLIAM W IDE (MD) – Pediatric Rehabilitation Medicine Physician, NPI 1851528988
Pediatric Rehabilitation Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
346 PHYSICAL MEDICINE AND REHABILITATION in VA
Provider Addresses for DR. WILLIAM W IDE (MD)
545 RAY C HUNT DRIVE
UNIVERSITY OF VIRGINIA DEPARTMENT OF PM&R
CHARLOTTESVILLE, VA 229039717
Phone: (434) 243-5631
Type: Location
PO BOX 9007
CHARLOTTESVILLE, VA 229069007
Phone: (434) 295-1000
Type: Mailing
1204 W MAIN ST
CHARLOTTESVILLE, VA 229032824
Phone: (434) 924-5161
Type: Location
1215 Lee St
Charlottesville, VA 229082120
Phone: (434) 924-5161
Type: Location
Kennedy Krieger Institute
707 North Broadway
Baltimore, MD 212052120
Phone: (443) 923-9440
Type: Location
527, Normandy Street, Bide-a-wee Manor, Cavalier Manor, Portsmouth, Virginia, 23701, United States
PORTSMOUTH, VA 237014311
Phone: (443) 994-2485
Type: Mailing
KENNEDY KRIEGER INSTITUTE
707 NORTH BROADWAY
BALTIMORE, MD 212054311
Phone: (443) 994-2485
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-06-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210802000023 | I | Physical Medicine And Rehabilitation | MD | TBD |
| I20240606001820 | I | Physical Medicine And Rehabilitation | VA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22903)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | VA | |
| - | VA | |
| A N E S T H E S I O L O G Y | VA | |
| - | VA | |
| - | VA | |
| - | VA | |
| - | VA | |
| - | VA | |
| Nurse Practitioner | VA | |
| - | VA |
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