Individual provider Active NPI

Christopher Scott Waddell, D.O.

  • Diagnostic Radiology Physician
  • Clive, IA
National Provider Identifier
1689846008
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
3872 Issued in IA
Practice address
12368 Stratford Dr
Suite 300
Clive, IA 50325-8162
Phone
(515) 226-9810
Fax
(515) 226-8408
NPI assigned
Mar 26, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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 3872 IA Primary

Addresses

Primary practice location

12368 Stratford Dr
Suite 300
Clive, IA 50325-8162

Mailing address

12368 Stratford Dr
Suite 300
Clive, IA 50325-8162
Phone (515) 226-9810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080624000368 IA Practitioner - Diagnostic Radiology 4385715044 Reassigns benefits to 4 organizations
I20250430002274 FL Practitioner - Diagnostic Radiology 4385715044 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Diagnostic Imaging and Procedure Center, L C 36 clinicians
Iowa Radiology P C 37 clinicians

Practice addresses (Care Compare)

Bonita Springs, FL 34135
Phone (515) 226-9810

1221 Pleasant St
Suite 350
Des Moines, IA 50309-1420
Phone (515) 226-9810

27221 Galleon Dr
Bonita Springs, FL 34135-4442
Phone (515) 226-2122

Hospital & facility affiliations

  • Unitypoint Health - Des Moines Iowa Methodist Medi Hospital, Des Moines, IA, CCN 160082
  • Buena Vista Regional Medical Center Hospital, Storm Lake, IA, CCN 161375
  • Grinnell Regional Medical Center Hospital, Grinnell, IA, CCN 160147
  • Trinity Regional Medical Center Hospital, Fort Dodge, IA, CCN 160016
  • Cherokee Regional Medical Center Hospital, Cherokee, IA, CCN 161362

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
81.64 of 100Reported as group
Quality
78.11
Improvement activities
40
Cost
78.95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3872IAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Diagnostic Imaging & Procedure Center, L C Diagnostic Radiology CurrentSince Jul 14, 2008 Accepting new patients
Des Moines University Osteopathic Medical Center Diagnostic Radiology CurrentSince Jan 2, 2014 Accepting new patients
Iowa Radiology, P C Diagnostic Radiology CurrentSince Jul 14, 2008 Accepting new patients
Trinity Regional Medical Center CurrentSince Dec 28, 2018 Accepting new patients
Des Moines University Osteopathic Medical Center CurrentSince Jan 2, 2014 Accepting new patients
BTX Iowa Inc CurrentSince Sep 1, 2015 Accepting new patients

Locations

515 Pacific Ave
Audubon, IA 50025
Phone (712) 563-2611

311 S Clark St
Carroll, IA 51401
Phone (712) 792-3581

1700 W Townline St
Creston, IA 50801
Phone (641) 782-7091

1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926

12368 Stratford Dr
Ste 300
Des Moines, IA 50325
Phone (515) 228-9810

1221 Pleasant St
Ste 350
Des Moines, IA 50309

700 E University Ave
Des Moines, IA 50316
Phone (515) 263-5120

1555 Hull Ave
Des Moines, IA 50316
Phone (515) 262-5639

3200 Grand Ave
Des Moines, IA 50312
Phone (515) 271-1700

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

625 L St
Fort Dodge, IA 50501
Phone (515) 574-3015

210 4th Ave
Grinnell, IA 50112
Phone (641) 236-2055

710 N 12th St
Guthrie Ctr, IA 50115
Phone (641) 332-2201

1000 15th St N
Humboldt, IA 50548
Phone (515) 332-4200

701 E 2nd St
Ida Grove, IA 51445
Phone (712) 364-3311

1000 W Lincoln Way
Jefferson, IA 50129
Phone (515) 386-2114

1301 W Main St
Lake City, IA 51449
Phone (712) 464-3171

640 S 19th St
Nevada, IA 50201
Phone (515) 382-2111

800 S Fillmore St
Osceola, IA 50213
Phone (641) 342-2184

606 NW 7th St
Pocahontas, IA 50574
Phone (712) 335-3501

211 Highland Ave
Sac City, IA 50583
Phone (712) 662-7105

2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000

1525 W 5th St
Storm Lake, IA 50588
Phone (712) 732-4030

1660 60th St
West Des Moines, IA 50266
Phone (515) 241-2250

Organizations & group practices 6

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 7

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": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1689846008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12368 STRATFORD DR",
            "address_2": "SUITE 300",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258162",
            "telephone_number": "515-226-9810",
            "fax_number": "515-226-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12368 STRATFORD DR",
            "address_2": "SUITE 300",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258162",
            "telephone_number": "515-226-9810",
            "fax_number": "515-226-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADDELL",
        "first_name": "CHRISTOPHER",
        "middle_name": "SCOTT",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "3872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

Verify at the official NPI Registry.