NPIMap

Individual provider Active NPI

Caleb Thomas Wagner, M.D.

  • Hospitalist Physician
  • Pickerington, OH
National Provider Identifier
1124310826
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
35.123610 Issued in OH
Practice address
1010 Refugee Rd
Pickerington, OH 43147-9653
Phone
(614) 566-8883
Fax
(614) 566-8149
NPI assigned
May 12, 2011
Last updated
Dec 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 35.123610 OH Primary
Internal Medicine Physician 207R00000X 35.123610 OH

Addresses

Primary practice location

1010 Refugee Rd
Pickerington, OH 43147-9653

Mailing address

PO Box 7527
Dublin, OH 43017-0727

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cwagner990136@direct.ohiohealth.com OhioHealth Physician Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20140930001057 OH Practitioner - Internal MedicinePractitioner - Hospitalist 9335391002 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

1010 Refugee Rd
Pickerington, OH 43147-9653
Phone (614) 566-8883

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adena Medical Group LLC Internal Medicine CurrentSince Jun 18, 2014 Accepting new patients
Ohiohealth Corporation CurrentSince Nov 1, 2023 Accepting new patients
Columbus Inpatient Care Inc. Internal Medicine CurrentSince Jun 2, 2015 Accepting new patients
Ohiohealth Corporation Internal Medicine CurrentSince Nov 1, 2023 Accepting new patients
Ohiohealth Corporation Past Accepting new patients

Locations

4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

793 W State St
Columbus, OH 43222
Phone (614) 234-1862

793 W State St
Fl 3
Columbus, OH 43222
Phone (614) 234-1079

Dept L3652
Columbus, OH 43260

5300 N Meadows Dr
Grove City, OH 43123
Phone (614) 234-4242

1010 Refugee Rd
Pickerington, OH 43147
Phone (614) 587-7601

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

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 3

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": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1124310826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 REFUGEE RD",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479653",
            "telephone_number": "614-566-8883",
            "fax_number": "614-566-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "CALEB",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-12",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35.123610",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.123610",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwagner990136@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group, Inc.",
            "address_1": "1010 Refugee Rd",
            "city": "Pickerington",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431479653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

Verify at the official NPI Registry.