Individual provider Active NPI

Joshua Gray Waytz, MD

  • Rheumatology Physician
  • Edina, MN
National Provider Identifier
1619460854
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
73164 Issued in MN
Practice address
7600 France Ave S Ste 5100
Edina, MN 55435-6026
Phone
(952) 893-1959
Fax
(952) 893-1954
NPI assigned
Jun 12, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125.072472 IL
Internal Medicine Physician 207R00000X 036.155463 IL
Rheumatology Physician 207RR0500X 036.155463 IL
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 73164 MN Primary

Addresses

Primary practice location

7600 France Ave S Ste 5100
Edina, MN 55435-6026

Mailing address

7600 France Ave S Ste 5100
Edina, MN 55435-6026
Phone (952) 893-1959

Other practice location 1

12000 Elm Creek Blvd N Ste 150
Maple Grove, MN 55369-7073
Phone (952) 893-1959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20230808000869 MN Practitioner - RheumatologyPractitioner - Internal Medicine 4981951175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Northwestern University Feinberg Medical School, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arthritis and Rheumatology Consultants PAGroup PAC ID 3476452194, 12 clinicians

Practice addresses (Care Compare)

7600 France Ave S
Suite 5100
Edina, MN 55435-6026
Phone (952) 893-1959

Merit-based Incentive Payment System (MIPS)

Final score
97.95 of 100Reported as group
Quality
96.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.072472ILMDInternal Medicine Physician
036.155463ILMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group Single Specialty PastSince Jun 1, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: joshua.waytz.p1@direct.arc.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1619460854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 FRANCE AVE S STE 5100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554356026",
            "telephone_number": "952-893-1959",
            "fax_number": "952-893-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 FRANCE AVE S STE 5100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554356026",
            "telephone_number": "952-893-1959",
            "fax_number": "952-893-1954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12000 Elm Creek Blvd N Ste 150",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553697073",
            "country_code": "US",
            "telephone_number": "952-893-1959",
            "fax_number": "763-416-4288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAYTZ",
        "first_name": "JOSHUA",
        "middle_name": "GRAY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-12",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.072472",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.155463",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IL",
            "license": "036.155463",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MN",
            "license": "73164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.