Active NPI
Brian Paul Wynia, DO
- Diagnostic Radiology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 02005796A
- Practice address
- 5122 Millwright CT
Indianapolis, IN 46254-4786 - Phone
- (605) 359-0792
- NPI assigned
- Jun 18, 2018
- Last updated
- Sep 15, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R11262 | IA | |
| Diagnostic Radiology Physician | 2085R0202X | R11262 | IA | |
| Diagnostic Radiology Physician | 2085R0202X | 02005796A | IN | Primary |
Addresses
Primary practice location
5122 Millwright CT
Indianapolis, IN 46254-4786
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
11700 N Meridian St
Carmel, IN 46032-4656
Phone (317) 688-2955
Other practice location 2
2401 W University Ave
Muncie, IN 47303-3428
Phone (765) 741-1515
Other practice location 3
1415 Woodland Ave Ste 140
Des Moines, IA 50309-3203
Phone (515) 241-5995
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 959090193 | Other | IN | MEDICARE PTAN |
| 1306330980 | Other | IA | RESIDENT LICENSE |
| 300026972 | Medicaid | IN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Home | Direct | |
| Direct Messaging Address | bwynia@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Pleasant St
Des Moines, IA 50309-1406
Phone (515) 241-6171
12368 Stratford Dr
Suite 300
Clive, IA 50325-8149
Phone (515) 226-9810
Hospital & facility affiliations
- Unitypoint Health - Des Moines Iowa Methodist Medi
- Trinity Regional Medical Center
- Grinnell Regional Medical Center
- Greene County Medical Center
- Stewart Memorial Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 71.72 of 100
- Quality
- 71.18
- Improvement activities
- 40
- Cost
- 58.57
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.64 of 100
- Quality
- 78.11
- Improvement activities
- 40
- Cost
- 78.95
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R11262 | IA | MD | Diagnostic Radiology Physician |
| 02005796A | IN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Iowa Radiology, P C | Single Specialty | Current | Accepting new patients |
| Indiana University Radiology Associates, Inc. | Single Specialty | Current | Accepting new patients |
| Iowa Diagnostic Imaging & Procedure Center, L C | Single Specialty | Current | Accepting new patients |
| Iowa Physicians Clinic Medical Foundation | Single Specialty | Past | Accepting new patients |
Locations (25 of 29)
3625 N Ankeny Blvd
Ste H
Ankeny, IA 50023
909 SW Oralabor Rd
Ankeny, IA 50023
Phone (515) 963-4400
515 Pacific Ave
Audubon, IA 50025
Phone (712) 563-2611
311 S Clark St
Carroll, IA 51401
Phone (712) 792-3581
1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926
1221 Pleasant St
Ste 350
Des Moines, IA 50309
12368 Stratford Dr
Ste 300
Des Moines, IA 50325
Phone (515) 228-9810
3714 Ingersoll Ave
Des Moines, IA 50312
Phone (515) 279-6424
700 E University Ave
Des Moines, IA 50316
Phone (515) 263-5120
625 L St
Fort Dodge, IA 50501
Phone (515) 574-3015
802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565
210 4th Ave
Grinnell, IA 50112
Phone (641) 236-2055
710 N 12th St
Guthrie Ctr, IA 50115
Phone (641) 332-2201
1000 15th St N
Humboldt, IA 50548
Phone (515) 332-4200
701 E 2nd St
Ida Grove, IA 51445
Phone (712) 364-3311
1000 W Lincoln Way
Jefferson, IA 50129
Phone (515) 386-2114
1301 W Main St
Lake City, IA 51449
Phone (712) 464-3171
640 S 19th St
Nevada, IA 50201
Phone (515) 382-2111
800 S Fillmore St
Osceola, IA 50213
Phone (641) 342-2184
606 NW 7th St
Pocahontas, IA 50574
Phone (712) 335-3501
211 Highland Ave
Sac City, IA 50583
Phone (712) 662-7105
1525 W 5th St
Storm Lake, IA 50588
Phone (712) 732-4030
1660 60th St
West Des Moines, IA 50266
Phone (515) 241-2250
6000 University Ave
Ste 150
West Des Moines, IA 50266
5924 Reliable Pkwy
Chicago, IL 60686
Interoperability endpoints
- bwynia607746@direct.unitypoint.org
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.
-
dba Iowa Radiology, P.C.
- Diagnostic Radiology Physician
- Clive, IA
- NPI 1528026481
Single Specialty
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1336192665
Single Specialty
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
dba UnityPoint Clinic
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
Single Specialty
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Iowa Lutheran Hospital
- General Acute Care Hospital
- Des Moines, IA
- NPI 1356433049
-
dba Iowa Methodist Medical Center
- General Acute Care Hospital
- Des Moines, IA
- NPI 1396837951
-
dba Iowa Methodist Medical Center-Methodist West
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1598905762
-
- Critical Access Hospital
- Jefferson, IA
- NPI 1083654883
-
dba Unitypoint Health - Grinnell Regional Medical Center
- General Acute Care Hospital
- Grinnell, IA
- NPI 1669420501
-
- Critical Access Hospital
- Lake City, IA
- NPI 1063497188
-
dba UnityPoint Health Trinity Regional Medical Center
- General Acute Care Hospital
- Fort Dodge, IA
- NPI 1487759858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694736000000",
"number": "1306330980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5122 MILLWRIGHT CT",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462544786",
"telephone_number": "605-359-0792"
}
],
"practiceLocations": [
{
"address_1": "11700 N Meridian St",
"address_purpose": "LOCATION",
"city": "Carmel",
"state": "IN",
"postal_code": "460324656",
"country_code": "US",
"telephone_number": "317-688-2955",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2401 W University Ave",
"address_purpose": "LOCATION",
"city": "Muncie",
"state": "IN",
"postal_code": "473033428",
"country_code": "US",
"telephone_number": "765-741-1515",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1415 Woodland Ave Ste 140",
"address_purpose": "LOCATION",
"city": "Des Moines",
"state": "IA",
"postal_code": "503093203",
"country_code": "US",
"telephone_number": "515-241-5995",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WYNIA",
"first_name": "BRIAN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-18",
"last_updated": "2023-09-15",
"certification_date": "2023-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "R11262",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IA",
"license": "R11262",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "02005796A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "959090193",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RESIDENT LICENSE",
"identifier": "1306330980",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300026972",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Home",
"affiliation": "N",
"endpointDescription": "Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5122 Millwright Ct",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462544786",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bwynia@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2401 W University Ave",
"city": "Muncie",
"state": "IN",
"country_code": "US",
"postal_code": "473033428",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.