NPIMap

Individual provider Active NPI

James D Wagner, MD

  • Internal Medicine Physician
  • Coraopolis, PA
National Provider Identifier
1073536934
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD032241E Issued in PA
Practice address
1600 Coraopolis Heights Rd Ste G1
Coraopolis, PA 15108-4307
Phone
(412) 269-4114
Fax
(412) 269-4116
NPI assigned
Jul 25, 2006
Last updated
Feb 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD032241E PA Primary

Addresses

Primary practice location

1600 Coraopolis Heights Rd Ste G1
Coraopolis, PA 15108-4307

Mailing address

1600 Coraopolis Heights Rd
Coraopolis, PA 15108-4316
Phone (412) 269-4114

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050328000142 PA Practitioner - Internal MedicinePractitioner - General Practice 4183670771 Reassigns benefits to 1 organization
Practice locations: Moon Township, PA; Sewickley, PA; Pittsburgh, PA; Corapolis, PA; Aliquippa, PA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians

Practice addresses (Care Compare)

2 Hot Meal St
Pittsburgh, PA 15203-2348

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
70.53
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD032241EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc CurrentSince Feb 1, 2021 Accepting new patients
Upmc Community Medicine Inc CurrentSince Feb 1, 2021 Accepting new patients
Upmc Community Medicine, Inc Internal Medicine Current Accepting new patients
Cedar Hill Healthcare LLC Past Accepting new patients
Upmc Community Medicine Inc Internal Medicine Past Accepting new patients
Wilkinson Pristine Pines Senior Housing, LLC Past Accepting new patients

Locations

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

1600 Coraopolis Heights Rd
Moon Twp, PA 15108
Phone (412) 269-7062

1600 Coraopolis Heights Rd
Ste G1
Moon Twp, PA 15108
Phone (412) 269-4114

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

Interoperability endpoints

  • Direct secure messaging: james.d.wagner@upmcdirect.com

Organizations & group practices 6

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1073536934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CORAOPOLIS HEIGHTS RD",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151084316",
            "telephone_number": "412-269-4114",
            "fax_number": "412-269-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CORAOPOLIS HEIGHTS RD STE G1",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151084307",
            "telephone_number": "412-269-4114",
            "fax_number": "412-269-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "JAMES",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD032241E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coraopolis, PA

Sources for this page

Verify at the official NPI Registry.