Individual provider Active NPI

Daniel Robert Wahl, M.D.

  • Diagnostic Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1144633074
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD466911 Issued in PA
Practice address
3400 Spruce Street - 1 Silverstein
Department of Radiology / Abdominal Imaging
Philadelphia, PA 19104
Phone
(215) 662-3046
NPI assigned
Jun 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD466911 PA Primary

Addresses

Primary practice location

3400 Spruce Street - 1 Silverstein
Department of Radiology / Abdominal Imaging
Philadelphia, PA 19104

Mailing address

3400 Spruce Street - 1 Silverstein
Department of Radiology / Abdominal Imaging
Philadelphia, PA 19104
Phone (215) 662-3046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190521003082 PA Practitioner - Diagnostic Radiology 6103169826 Reassigns benefits to 1 organization
I20200716000419 NJ Practitioner - Diagnostic Radiology 6103169826 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Princeton Radiology Associates PAGroup PAC ID 8022003367, 57 clinicians
University Radiology Group LLCGroup PAC ID 6608868500, 239 clinicians

Practice addresses (Care Compare)

1 Plainsboro Rd
Plainsboro, NJ 08536-1913
Phone (732) 821-5563

176 Route 9
Englishtown, NJ 07726-9218
Phone 73282155631242

3 Terry Dr
Suite 101
Newtown, PA 18940-1871
Phone (609) 921-8211

419 N Harrison St
Princeton, NJ 08540-3521
Phone 73282155631242

483 Cranbury Rd
East Brunswick, NJ 08816-3610
Phone 73239000402022

8 Quakerbridge PLZ
Mercerville, NJ 08619-1255
Phone (732) 821-5563

9 Centre Dr
Suite 110
Monroe Township, NJ 08831-5153
Phone 73282155631242

901 W Main St
Freehold, NJ 07728-2537
Phone (732) 821-5563

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.93 of 100Reported as group
Quality
95.96
Improvement activities
40
Cost
73.85

Merit-based Incentive Payment System (MIPS)

Final score
88.17 of 100Reported as group
Quality
93.45
Improvement activities
40
Cost
72.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD466911PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Radiology Associates, P.a. Diagnostic Radiology CurrentSince Sep 1, 2020 Accepting new patients

Locations

375 Route 206
Hillsborough, NJ 08844
Phone 73282155631242

3674 State Route 27
Kendall Park, NJ 08824
Phone (732) 821-5511

419 N Harrison St
Princeton, NJ 08540
Phone (609) 921-9437

619 Alexander Rd
Ste 203
Princeton, NJ 08540
Phone (508) 951-4138

3 Terry Dr
Ste 101
Newtown, PA 18940
Phone (609) 921-8211

Interoperability endpoints

  • Direct secure messaging: dwahl425541@direct.ahsys.org
  • Direct secure messaging: daniel.wahl@direct.einstein.edu

Organizations & group practices 2

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": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1144633074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE STREET - 1 SILVERSTEIN",
            "address_2": "DEPARTMENT OF RADIOLOGY / ABDOMINAL IMAGING",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-662-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE STREET - 1 SILVERSTEIN",
            "address_2": "DEPARTMENT OF RADIOLOGY / ABDOMINAL IMAGING",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-662-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHL",
        "first_name": "DANIEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD466911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.