Jonathan Joseph Wadle, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

R11253 Issued in IA

Practice address

1415 Woodland Ave Ste 140
Des Moines, IA 50309-3203

Phone

(515) 241-5995

NPI assigned

Jun 18, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Internal Medicine

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Unitypoint Health - Des Moines Iowa Methodist Medi Hospital, Des Moines, IA, CCN 160082

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jwadle410764@direct.unitypoint.org
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Iowa Physicians Clinic Medical Foundation

  dba UnityPoint Clinic

  • General Practice Physician
  • West Des Moines, IA
  • NPI 1366425274

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Broadlawns Medical Center

  • General Acute Care Hospital
  • Des Moines, IA
  • NPI 1467447508
  Medicare reassignment NPD
• On With Life, Inc.

  dba On With

  • Clinical Neuropsychologist
  • Ankeny, IA
  • NPI 1336633346

  Internal Medicine

  Medicare reassignment NPD
• Broadlawns Medical Center

  • Pharmacy
  • Des Moines, IA
  • NPI 1013197060
  NPD
• On With Life, Inc

  dba On With Life Outpatient Neuro Rehabilitation

  • Rehabilitation Clinic/Center
  • Coralville, IA
  • NPI 1245892629
  NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Central Iowa Hospital Corporation

  dba Iowa Lutheran Hospital

  • General Acute Care Hospital
  • Des Moines, IA
  • NPI 1356433049
  Care Compare affiliation
• Central Iowa Hospital Corporation

  dba Iowa Methodist Medical Center

  • General Acute Care Hospital
  • Des Moines, IA
  • NPI 1396837951
  Care Compare affiliation
• Central Iowa Hospital Corporation

  dba Iowa Methodist Medical Center-Methodist West

  • General Acute Care Hospital
  • West Des Moines, IA
  • NPI 1598905762
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1467946061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 WOODLAND AVE STE 140",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503093203",
            "telephone_number": "515-241-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 WOODLAND AVE STE 140",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503093203",
            "telephone_number": "515-241-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADLE",
        "first_name": "JONATHAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "R11253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• W C Koenig Jr MD PC (William C. Koenig Jr MD PC)
• Leigh Ann Wachter
• Joel Waddell, DO
• Wadle and Associates
• Wadle and Assocites, P.C
• Lindsey Jo Wadle, SLP
• Stephanie Wadle, ARNP
• Amy Jo Wadstrom, RPH
• Angela Wagaman, RN
• Nicole Ann Wagaman, D.O.

• Internal Medicine Physician in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Internal Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.

Verify at the official NPI Registry.