Individual provider Active NPI

Wade C Hedegard, MD

  • Diagnostic Radiology Physician
  • Rochester, NY
National Provider Identifier
1023232741
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
264828 Issued in NY
Practice address
170 Sawgrass Dr
Rochester, NY 14620-4648
Phone
(585) 442-2190
Fax
(585) 758-7091
NPI assigned
Apr 12, 2007
Last updated
Jun 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Diagnostic Radiology Physician 2085R0202X 264828 NY Primary

Addresses

Primary practice location

170 Sawgrass Dr
Rochester, NY 14620-4648

Mailing address

170 Sawgrass Dr
Rochester, NY 14620-4648
Phone (585) 442-2190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120816000487 NY Practitioner - Diagnostic Radiology 1052599545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Minnesota Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elizabeth Wende Breast Care LLCGroup PAC ID 7113002569, 7 clinicians

Practice addresses (Care Compare)

170 Sawgrass Dr
Rochester, NY 14620-4648
Phone (585) 442-2190

Merit-based Incentive Payment System (MIPS)

Final score
61.17 of 100Reported as group
Quality
22.35
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
264828NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Wende Breast Care LLC Diagnostic Radiology CurrentSince Jul 23, 2012 Accepting new patients

Locations

170 Sawgrass Dr
Rochester, NY 14620
Phone (585) 442-2190

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1023232741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 SAWGRASS DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204648",
            "telephone_number": "585-442-2190",
            "fax_number": "585-758-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 SAWGRASS DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204648",
            "telephone_number": "585-442-2190",
            "fax_number": "585-758-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDEGARD",
        "first_name": "WADE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "264828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.