Individual provider Active NPI

John S Wade, M.D.

  • Colon & Rectal Surgery Physician
  • Fresno, CA
National Provider Identifier
1346297330
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
G446590 Issued in CA
Practice address
6067 N Fresno St
Suite 101
Fresno, CA 93710-5200
Phone
(559) 436-0606
Fax
(559) 436-4274
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X G446590 CA Primary

Addresses

Primary practice location

6067 N Fresno St
Suite 101
Fresno, CA 93710-5200

Mailing address

6067 N Fresno St
Suite 101
Fresno, CA 93710-5200
Phone (559) 436-0606

Other identifiers 1

IdentifierTypeStateIssuer
00G446590MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20060613000323 CA Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 4183636061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
University of Alabama School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6067 N Fresno St
Suite 101
Fresno, CA 93710-5200
Phone (559) 436-0606

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
28.89 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
96.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G446590CAMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John S Wade MD Inc Colon & Rectal Surgery CurrentSince Sep 5, 2011 Accepting new patients
Fresno Community Hospital and Medical Center PastSince Sep 5, 2011 Accepting new patients

Locations

6067 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 436-0606

Organizations & group practices 2

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 1

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1346297330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6067 N FRESNO ST",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105200",
            "telephone_number": "559-436-0606",
            "fax_number": "559-436-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6067 N FRESNO ST",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105200",
            "telephone_number": "559-436-0606",
            "fax_number": "559-436-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "JOHN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "G446590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G446590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.