Individual provider Active NPI

Donald E. Wenner, M.D.

  • Surgery Physician
  • Roswell, NM
National Provider Identifier
1215981972
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
85-124 Issued in NM
Practice address
1600 SE Main St
Suite F
Roswell, NM 88203-5423
Phone
(575) 622-4374
Fax
(575) 623-1161
NPI assigned
May 19, 2006
Last updated
Jul 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 85-124 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) 622-4374

Other identifiers 1

IdentifierTypeStateIssuer
35246MedicaidNM

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
I20040112000403 NM Practitioner - General SurgeryPractitioner - Thoracic SurgeryPractitioner - Vascular Surgery 5395645659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Thoracic Surgery, Vascular Surgery
Education
University of New Mexico School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1600 SE Main St
Suite F
Roswell, NM 88203-5423
Phone (575) 622-4374

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as individual
Quality
71.67
Improvement activities
40
Cost
71.1

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)11
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision77
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
85-124NMMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Donald E. Wenner M.D. F.a.C.S. P.C. Surgery CurrentSince Aug 1, 1985 Accepting new patients

Locations

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

Interoperability endpoints

  • Direct secure messaging: donaldewennermdfacspc.donaldewenner@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1215981972",
    "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": "575-622-4374",
            "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": "575-622-4374",
            "fax_number": "575-623-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENNER",
        "first_name": "DONALD",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "85-124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35246",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

Verify at the official NPI Registry.