Individual provider Active NPI

Donald E Wenner III, M.D.

  • Urology Physician
  • Roswell, NM
National Provider Identifier
1144487281
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD2012-0816 Issued in NM
Practice address
1600 SE Main St
Suite F
Roswell, NM 88203-5423
Phone
(575) 623-1980
Fax
(575) 623-1161
NPI assigned
May 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD2012-0816 NM Primary

Addresses

Primary practice location

1600 SE Main St
Suite F
Roswell, NM 88203-5423

Mailing address

1600 SE Main St
Suite F
Roswell, NM 88203-5423
Phone (575) 623-1980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20131014000247 NM Practitioner - Urology 4183858863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of New Mexico School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
D. E. Wenner III, M.D., P.C.Group PAC ID 3274767959, 2 clinicians

Practice addresses (Care Compare)

1600 SE Main St
Suite F
Roswell, NM 88203-5423
Phone (575) 623-1980

Hospital & facility affiliations

  • Lovelace Regional Hospital - Roswell Hospital, Roswell, NM, CCN 320086
  • Eastern New Mexico Medical Center Hospital, Roswell, NM, CCN 320006
  • Artesia General Hospital Hospital, Artesia, NM, CCN 320030

Merit-based Incentive Payment System (MIPS)

Final score
76.85 of 100Reported as individual
Quality
55
Improvement activities
40
Cost
79.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection15
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2012-0816NMMDUrology Physician

Interoperability endpoints

  • Direct secure messaging: donaldewennermdfacspc.donaldwenneriii@124915.advancedmd-direct.com

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 and National Provider Directory roles.

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": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1144487281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SE MAIN ST",
            "address_2": "SUITE F",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882035423",
            "telephone_number": "575-623-1980",
            "fax_number": "575-623-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SE MAIN ST",
            "address_2": "SUITE F",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882035423",
            "telephone_number": "575-623-1980",
            "fax_number": "575-623-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENNER",
        "first_name": "DONALD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-16",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NM",
            "license": "MD2012-0816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

Verify at the official NPI Registry.