Individual provider Active NPI

John D Wagel, MD

  • Emergency Medicine Physician
  • Auburn, IN
National Provider Identifier
1487630414
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01040117A Issued in IN
Practice address
1316 E 7TH St
Auburn, IN 46706-2523
Phone
(260) 925-4600
NPI assigned
Dec 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01040117A IN Primary

Addresses

Primary practice location

1316 E 7TH St
Auburn, IN 46706-2523

Mailing address

# 774560, 4560 Solutions Center
Chicago, IL 60677-4005
Phone (260) 969-1950

Other identifiers 3

IdentifierTypeStateIssuer
P00266379OtherINRAILROAD MEDICARE
100318150AMedicaidIN
0000372545OtherINBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20050818000982 IN Practitioner - Emergency Medicine 5698705663 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.61 of 100Reported as group
Quality
76.47
Promoting interoperability
100
Improvement activities
40
Cost
68.89

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital of Lagrange County Inc Current Accepting new patients
Adams County Memorial Hospital CurrentSince Feb 19, 2017 Accepting new patients
Adams County Memorial Hospital CurrentSince Feb 19, 2017 Accepting new patients
Summit Radiology P C Past Accepting new patients

Locations

1100 Mercer Ave
Decatur, IN 46733

207 N Townline Rd
Lagrange, IN 46761
Phone (260) 266-5300

Interoperability endpoints

  • Direct secure messaging: jwagel8444@direct.parkviewexchange.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1487630414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "# 774560, 4560 SOLUTIONS CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606774005",
            "telephone_number": "260-969-1950",
            "fax_number": "260-918-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 E 7TH ST",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467062523",
            "telephone_number": "260-925-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGEL",
        "first_name": "JOHN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01040117A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00266379",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100318150A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0000372545",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, IN

Sources for this page

Verify at the official NPI Registry.