Individual provider Active NPI

John Jeffrey Wadley, MD

  • Surgery Physician
  • Sedalia, MO
National Provider Identifier
1295727709
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
104046 Issued in MO
Practice address
3300 W 10TH St
Sedalia, MO 65301-2111
Phone
(660) 827-0423
Fax
(660) 827-5510
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 104046 MO Primary

Addresses

Primary practice location

3300 W 10TH St
Sedalia, MO 65301-2111

Mailing address

3300 W 10TH St
Sedalia, MO 65301-2111
Phone (660) 827-0423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20100907000744 MO Practitioner - General SurgeryPractitioner - Vascular Surgery 0749352854 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Saint Louis University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bothwell Regional Health CenterGroup PAC ID 6103714126, 109 clinicians

Practice addresses (Care Compare)

3300 W 10TH St
Bothwell Surgical SVCS of Sedalia
Sedalia, MO 65301-2111
Phone (660) 827-0423

Hospital & facility affiliations

  • Bothwell Regional Health Center Hospital, Sedalia, MO, CCN 260009

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy134
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux112
Melanoma (skin cancer) excision1-10
Leg revascularization (restoring blood flow)1-10
Removal of tissue222
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western Missouri Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Western Missouri Medical Center Surgery CurrentSince Feb 12, 2019 Accepting new patients
Bothwell Regional Health Center CurrentSince Dec 1, 2023 Accepting new patients
Western Missouri Medical Center Current Accepting new patients
Bothwell Regional Health Center Current Accepting new patients
Bothwell Regional Health Center CurrentSince Dec 1, 2023 Accepting new patients

Locations

3300 W 10th St
Sedalia, MO 65301
Phone (660) 827-0423

601 E 14th St
Sedalia, MO 65301
Phone (660) 826-8833

407 Burkarth Rd
Ste 302
Warrensburg, MO 64093
Phone (660) 747-2500

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

Organizations & group practices 6

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 2

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295727709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 W 10TH ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012111",
            "telephone_number": "660-827-0423",
            "fax_number": "660-827-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 W 10TH ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012111",
            "telephone_number": "660-827-0423",
            "fax_number": "660-827-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADLEY",
        "first_name": "JOHN",
        "middle_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "104046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedalia, MO

Sources for this page

Verify at the official NPI Registry.