Active NPI
Donald H Wade, MD
- Diagnostic Radiology Physician
- Palm Desert, CA
National Provider Identifier
1316058530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G19254
- Practice address
- 44215 Monterey Ave
Palm Desert, CA 92260 - Phone
- (760) 346-6413
- Fax
- (760) 340-1968
- NPI assigned
- Aug 31, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G19254 | CA | Primary |
Addresses
Primary practice location
44215 Monterey Ave
Palm Desert, CA 92260
Mailing address
PO Box 1595
Rancho Mirage, CA 92270
Phone (760) 346-6413
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G192540 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm Desert Radiology Medical Group, Inc | Diagnostic Radiology | Past | Accepting new patients |
| Hni Medical Services of California, PC | Past | Accepting new patients | |
| Open MRI of the Desert LTD | Diagnostic Radiology | Past | Accepting new patients |
| Open System MRI LLC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Hospitalist Physician
- Rancho Mirage, CA
- NPI 1154797041
-
dba Open System Imaging
- Diagnostic Radiology Physician
- Palm Desert, CA
- NPI 1295763654
-
dba Eisenhower Radiology Medical Group, Inc
- Diagnostic Radiology Physician
- Rancho Mirage, CA
- NPI 1124079868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316058530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1595",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "92270",
"telephone_number": "760-346-6413",
"fax_number": "760-340-1968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44215 MONTEREY AVE",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "92260",
"telephone_number": "760-346-6413",
"fax_number": "760-340-1968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "DONALD",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G19254",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G192540",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.