Individual provider Active NPI

Charles Wagner

  • Internal Medicine Physician
  • New Castle, PA
National Provider Identifier
1205819232
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS015833 Issued in PA
Practice address
1000 S Mercer St
4TH Floor
New Castle, PA 16101-4672
Phone
(724) 656-6090
NPI assigned
Nov 23, 2005
Last updated
Mar 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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 OS015833 PA Primary

Addresses

Primary practice location

1000 S Mercer St
4TH Floor
New Castle, PA 16101-4672

Mailing address

2 Hot Metal St
Quantum One Suite 001
Pittsburgh, PA 15203-2348

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address charles.e.wagner@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 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
I20040520000152 OH Practitioner - Internal Medicine 3274524194 Reassigns benefits to 1 organization
I20111219000089 PA Practitioner - Internal Medicine 3274524194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio University, College of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians

Practice addresses (Care Compare)

1000 S Mercer St
New Castle, PA 16101-4672
Phone (724) 656-6090

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 Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine Inc CurrentSince Dec 13, 2016 Accepting new patients
Upmc Community Medcine Inc CurrentSince Dec 13, 2016 Accepting new patients
H O P E Counseling and Addiction Services LLC CurrentSince Mar 1, 2020 Accepting new patients
Upmc Community Medicine, Inc Internal Medicine Current Accepting new patients
Upmc Community Medicine Inc Internal Medicine Past Accepting new patients

Locations

1319 Florencedale Ave
Youngstown, OH 44505
Phone (330) 743-4673

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

1000 S Mercer St
New Castle, PA 16101
Phone (724) 656-6006

1000 S Mercer St
Fl 4
New Castle, PA 16101
Phone (724) 658-4688

1211 Wilmington Ave
New Castle, PA 16105
Phone (724) 656-4082

2004 W State St
New Castle, PA 16101
Phone (724) 657-3224

2 Hot Metal St
Ste 1
Pittsburgh, PA 15203

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

Interoperability endpoints

  • Direct secure messaging: charles.e.wagner@upmcdirect.com

Organizations & group practices 5

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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1205819232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HOT METAL ST",
            "address_2": "QUANTUM ONE SUITE 001",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S MERCER ST",
            "address_2": "4TH FLOOR",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161014672",
            "telephone_number": "724-656-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS015833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charles.e.wagner@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

Verify at the official NPI Registry.