Individual provider Active NPI

Daniel Wagner, MD

  • Diagnostic Radiology Physician
  • Dublin, OH
National Provider Identifier
1477084507
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35135879 Issued in OH
Practice address
5475 Rings Rd Ste 300
Dublin, OH 43017-7537
Phone
(614) 210-1885
Fax
(614) 210-1886
NPI assigned
Mar 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35135879 OH Primary

Addresses

Primary practice location

5475 Rings Rd Ste 300
Dublin, OH 43017-7537

Mailing address

5475 Rings Rd Ste 300
Dublin, OH 43017-7537
Phone (614) 210-1885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20230619000895 OH Practitioner - Diagnostic Radiology 4981974581 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ohio State University College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-County Radiologists IncGroup PAC ID 0840241907, 25 clinicians
Radiology IncGroup PAC ID 1658274543, 56 clinicians

Practice addresses (Care Compare)

130 W Clearview Ave
Worthington, OH 43085-4112
Phone (740) 348-5545

1492 E Broad St
Cloumbus, OH 43205-1546
Phone (614) 251-3660

5965 E Broad St
Columbus, OH 43213-1562
Phone (614) 234-8100

Hospital & facility affiliations

  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
  • Mount Carmel St Ann'S Hospital, Westerville, OH, CCN 360012
  • Mount Carmel New Albany Surgical Hospital Hospital, New Albany, OH, CCN 360266
  • Diley Ridge Medical Center Hospital, Canal Winchester, OH, CCN 360358
  • Licking Memorial Hospital Hospital, Newark, OH, CCN 360218

Merit-based Incentive Payment System (MIPS)

Final score
81.62 of 100Reported as group
Quality
75.91
Improvement activities
40
Cost
82.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35135879OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Inc Diagnostic Radiology CurrentSince Jul 24, 2023 Accepting new patients
Tri-County Radiologists, Inc. Diagnostic Radiology CurrentSince Nov 1, 2025 Accepting new patients

Locations

Dept L647
Columbus, OH 43260

5965 E Broad St
Columbus, OH 43213
Phone (614) 221-5189

5475 Rings Rd
Ste 300
Dublin, OH 43017
Phone (614) 451-2151

1320 W Main St
Newark, OH 43055
Phone (740) 348-4151

10330 Sawmill Pkwy
Ste 500
Powell, OH 43065
Phone (614) 234-0522

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 6

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": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1477084507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5475 RINGS RD STE 300",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177537",
            "telephone_number": "614-210-1885",
            "fax_number": "614-210-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 RINGS RD STE 300",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177537",
            "telephone_number": "614-210-1885",
            "fax_number": "614-210-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35135879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.