Individual provider Active NPI

Thaddeus L Wandel, MD

  • Ophthalmology Physician
  • Croton on Hudson, NY
National Provider Identifier
1053313767
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
098683 Issued in NY
Practice address
136 Old Post Rd N
Croton on Hudson, NY 10520-1934
Phone
(914) 271-5026
Fax
(914) 271-6592
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 098683 NY Primary

Addresses

Primary practice location

136 Old Post Rd N
Croton on Hudson, NY 10520-1934

Mailing address

136 Old Post Rd N
Croton on Hudson, NY 10520-1934
Phone (914) 271-5026

Other identifiers 1

IdentifierTypeStateIssuer
00168263MedicaidNY

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address Thaddeus.Wandel@wmchealth.cernerdirect.com Direct
Direct Messaging Address APSOphthalmologyHawthorne@wmchealth.cernerdirect.com Direct
Direct Messaging Address thaddeus.wandel@wmchealth.cernerdirect.com Direct

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
I20031212000726 NY Practitioner - Ophthalmology 8022914696 Reassigns benefits to 1 organization
Practice locations: Pleasantville, NY; Valhalla, NY

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Harvard Medical School, 1965
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Woods Rd
Valhalla, NY 10595-1530
Phone (914) 909-9018

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
098683NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Nov 1, 2019 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC Ophthalmology CurrentSince Nov 1, 2019 Accepting new patients
Westchester County Health Care Corporation Past Accepting new patients
Thaddeus Wandel M. D., P. C. Ophthalmology Past Accepting new patients

Locations

19 Bradhurst Ave
Ste 2100N
Hawthorne, NY 10532
Phone (914) 493-8375

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: apsophthalmologyhawthorne@wmchealth.cernerdirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1053313767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 OLD POST RD N",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105201934",
            "telephone_number": "914-271-5026",
            "fax_number": "914-271-6592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 OLD POST RD N",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105201934",
            "telephone_number": "914-271-5026",
            "fax_number": "914-271-6592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANDEL",
        "first_name": "THADDEUS",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "098683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00168263",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Thaddeus.Wandel@wmchealth.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "136 Old Post Rd N",
            "city": "Croton On Hudson",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105201934",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "APSOphthalmologyHawthorne@wmchealth.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "136 Old Post Rd N",
            "city": "Croton On Hudson",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105201934",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thaddeus.wandel@wmchealth.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ccda",
            "address_1": "19 Bradhurst Ave Ste 2100N",
            "city": "Hawthorne",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105322140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Croton on Hudson, NY

Sources for this page

Verify at the official NPI Registry.