Justin Michael Wudel, MD

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

7300 France Ave S
Suite 410
Edina, MN 55435-4544

Phone

(952) 227-3639

Fax

(952) 548-5254

NPI assigned

Apr 8, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Plastic and Reconstructive Surgery

Education

University of Minnesota Medical School, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Ear, Nose, and Throat Clinic and Hearing Center PAGroup PAC ID 3072518992, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

76.89 of 100Reported as group

Quality

72.65

Promoting interoperability

66

Improvement activities

40

Cost

78.63

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• The Ear, Nose and Throat Clinic and Hearing Center, P.a.

  • Otolaryngology Physician
  • Edina, MN
  • NPI 1881708030
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1104099381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 FRANCE AVE S",
            "address_2": "SUITE 410",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354544",
            "telephone_number": "952-227-3639",
            "fax_number": "952-548-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 FRANCE AVE S",
            "address_2": "SUITE 410",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354544",
            "telephone_number": "952-227-3639",
            "fax_number": "952-548-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUDEL",
        "first_name": "JUSTIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-08",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Wruck, R.D., L.D.
• Anthony Jian Wu, DO
• George Ming Jen Wu, M.D.
• Natalie Duan Wu, M.D.
• Amy Lynne Wudel, MD
• Alexandra Wulbecker, MED, MA, LPCC
• Corey A Wulf, M.D.
• Abby Florence Wulfing, M.A.
• Wunderkind, Inc.
• Ronald Joseph Wutchiett, PH.D.

• Specialist in Edina, MN
• Providers in Edina, MN by specialty
• Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.