Active NPI
Timothy Downey Wagner, MD, MBA
- Radiation Oncology Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- N4828
- Practice address
- 7979 Wurzbach Rd FL 2
San Antonio, TX 78229 - Phone
- (210) 450-1016
- Fax
- (210) 616-5613
- NPI assigned
- Aug 10, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 230133 | NY | |
| Radiation Oncology Physician | 2085R0001X | N4828 | TX | Primary |
Addresses
Primary practice location
7979 Wurzbach Rd FL 2
San Antonio, TX 78229
Mailing address
7979 Wurzbach Rd FL 2
San Antonio, TX 78229-4427
Phone (210) 450-1016
Other practice location 1
1 Baylor Plz
Ms 711
Houston, TX 77030-3411
Phone (832) 355-7118
Other practice location 2
1 Baylor Plz
Ms 711
Houston, TX 77030-3411
Phone (832) 355-7118
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340874206 | Other | TX | CSHCN |
| 340874205 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Tufts University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
16605 Southwest Fwy
Sugar Land, TX 77479-3500
Phone (281) 275-0800
16605 Southwest Fwy 400 Mob3
Methodist Family Medicine Group
Sugar Land, TX 77479-3500
Phone (281) 275-0800
16605 SW Fwy 410
Methodist Diag Card of Houston
Sugar Land, TX 77479-3500
Phone (281) 274-0148
16811 Southwest Fwy
Suite 200
Sugar Land, TX 77479-4728
Phone (281) 690-4678
18500 Katy Fwy
Houston, TX 77094-1110
Phone (832) 522-8560
4710 Bellaire Blvd
Bellaire, TX 77401-4505
Phone (713) 363-9411
6445 Main St
Suite 2500
Houston, TX 77030-1502
Phone (713) 441-3150
6565 Fannin St
Houston, TX 77030-2703
6565 Fannin St Main
577 Methodist Acad Med Assoc
Houston, TX 77030-2703
Phone (713) 441-0428
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230133 | NY | MD | Radiation Oncology Physician |
| N4828 | TX | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMH Physician Associates PLLC | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| University of Texas Health Science Center at San Antonio | Current | Accepting new patients | |
| The University of Texas Health Science Center at San Antonio | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| TMH Physician Associates PLLC | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| University of Texas Health Science Center at San Antonio | Current | Accepting new patients |
Locations
7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924
1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860
7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700
7979 Wurzbach Rd
San Antonio, TX 78229
Phone (210) 450-1000
7979 Wurzbach Rd
Fl 2
San Antonio, TX 78229
Phone (210) 450-1016
17183 Interstate 45 S
Ste 110
Shenandoah, TX 77385
Phone (936) 270-3413
16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800
Interoperability endpoints
- twagner545106@directhoustonmethodist.org
- twagner28840@direct.utmsa.com
Organizations & group practices 10
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.
-
- Ophthalmology Physician
- Houston, TX
- NPI 1275779225
-
- Otolaryngology Physician
- Houston, TX
- NPI 1902614332
-
- Family Medicine Physician
- Houston, TX
- NPI 1053352914
-
- Ph.D. Medical Genetics
- Houston, TX
- NPI 1881026664
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1720051717
-
- Internal Medicine Physician
- Houston, TX
- NPI 1104867175
-
- Orthopaedic Surgery Physician
- Sugar Land, TX
- NPI 1700683844
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
-
- Orthopaedic Surgery Physician
- Spring, TX
- NPI 1043061351
-
- Diagnostic Radiology Physician
- Boerne, TX
- NPI 1417921834
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1184179194
-
- General Acute Care Hospital
- Cypress, TX
- NPI 1629828405
-
- General Acute Care Hospital
- Houston, TX
- NPI 1548387418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550534400000",
"number": "1619169935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7979 WURZBACH RD FL 2",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294427",
"telephone_number": "210-450-1016",
"fax_number": "210-616-5613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7979 WURZBACH RD FL 2",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78229",
"telephone_number": "210-450-1016",
"fax_number": "210-616-5613"
}
],
"practiceLocations": [
{
"address_1": "1 Baylor Plz",
"address_2": "MS 711",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770303411",
"country_code": "US",
"telephone_number": "832-355-7118",
"fax_number": "832-355-7475",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Baylor Plz",
"address_2": "MS 711",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770303411",
"country_code": "US",
"telephone_number": "832-355-7118",
"fax_number": "832-355-7475",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WAGNER",
"first_name": "TIMOTHY",
"middle_name": "DOWNEY",
"credential": "MD, MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-10",
"last_updated": "2019-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NY",
"license": "230133",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "TX",
"license": "N4828",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "340874206",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "340874205",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.