Sushant Wagley, MD

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

49879 Issued in IA

Practice address

1501 50TH St Ste 133
West Des Moines, IA 50266-5920

Phone

(515) 222-6400

Fax

(515) 225-8921

NPI assigned

Jul 13, 2016

Last updated

May 1, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Ophthalmology

Education

Michigan State University College of Human Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iowa Retina Consultants, PCGroup PAC ID 2062304173, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: swagley943869@direct.unitypoint.org

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.

• Iowa Retina Consultants, PC

  • Retina Specialist (Ophthalmology) Physician
  • West Des Moines, IA
  • NPI 1437128394
  Medicare reassignment Care Compare group NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1225481351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 50TH ST STE 133",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665920",
            "telephone_number": "515-222-6400",
            "fax_number": "515-225-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 50TH ST STE 133",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665920",
            "telephone_number": "515-222-6400",
            "fax_number": "515-225-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGLEY",
        "first_name": "SUSHANT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-13",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "IA",
            "license": "49879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autumn Alexus Vymetal
• Jordan Wachter, DPT
• Alyssa Waddell, ARNP
• Isabelle Jane Wagener
• Emma Wagler
• Angela Wagner, M.S. CCC-SLP
• Brooklynn Wagoner
• Wal-Mart Stores, Inc. (Vision Center 30-3762)
• Bianca B Waldschmidt, PA-C
• Walgreen Co (Walgreens #06623)

• Retina Specialist (Ophthalmology) Physician in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Retina Specialist (Ophthalmology) Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.