Active NPI
Wade R Cartwright, MD
- Otolaryngology Physician
- Oakland, CA
National Provider Identifier
1376643254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- G262211
- Practice address
- 411 30TH St
# 401
Oakland, CA 94609-3301 - Phone
- (510) 834-6642
- Fax
- (510) 834-3115
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | G262211 | CA | Primary |
Addresses
Primary practice location
411 30TH St
# 401
Oakland, CA 94609-3301
Mailing address
411 30TH St
# 401
Oakland, CA 94609-3301
Phone (510) 834-6642
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100526000433 | CA | Practitioner - Otolaryngology | 8729117981 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Michigan Medical School, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
411 30TH St
Suite 401
Oakland, CA 94609-3303
Phone (510) 834-6642
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G262211 | CA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wade R. Cartwright M.D. a Professional Corporation | Otolaryngology | Current | Accepting new patients |
Locations
411 30th St
Ste 401
Oakland, CA 94609
Phone (510) 834-6642
Interoperability endpoints
- https://api.platform.athenahealth.com/3700/brand/1/csg/1/fhir/r4
- wade.cartwright.1@3700.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Otolaryngology Physician
- Oakland, CA
- NPI 1174842835
CA, Otolaryngology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224547200000",
"number": "1376643254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 30TH ST",
"address_2": "# 401",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093301",
"telephone_number": "510-834-6642",
"fax_number": "510-834-3115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 30TH ST",
"address_2": "# 401",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093301",
"telephone_number": "510-834-6642",
"fax_number": "510-834-3115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTWRIGHT",
"first_name": "WADE",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2008-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "G262211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.