Active NPI
Thanh H Duong Wagner, MD
- Cardiovascular Disease Physician
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME77423
- Practice address
- 1411 N Flagler Dr Ste 8000
West Palm Beach, FL 33401-3413 - Phone
- (561) 655-1318
- Fax
- (561) 655-6623
- NPI assigned
- Jul 26, 2005
- Last updated
- Sep 14, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ME77423 | FL | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 22999 | WI |
Addresses
Primary practice location
1411 N Flagler Dr Ste 8000
West Palm Beach, FL 33401-3413
Mailing address
1411 N Flagler Dr Ste 8000
West Palm Beach, FL 33401-3413
Phone (561) 655-1318
Other practice location 1
1717 N E St
Suite 331
Pensacola, FL 32501
Phone (850) 484-6500
Other practice location 2
1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 731-8900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2594315 00 | Medicaid | FL | |
| 009926650 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- Cardiovascular Disease (Cardiology)
- Education
- University of Wisconsin School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
185 Banyan Blvd
FL 2
West Palm Beach, FL 33401-4644
Phone (305) 243-6704
Hospital & facility affiliations
- USA Home Health Services, Inc.
- Univ of Miami Hospital and Clinics-Sylvester Compr
- Cleveland Clinic Martin North Hospital
- Good Samaritan Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.03 of 100
- Quality
- 88.14
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME77423 | FL | MD | Cardiovascular Disease Physician |
| 22999 | WI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Miami | Current | Accepting new patients | |
| University of Miami | Current | Accepting new patients | |
| Tenet Florida Physician Services LLC | Cardiovascular Disease | Current | Accepting new patients |
| Tenet Florida Physician Services, LLC | Current | Accepting new patients | |
| University of Miami | Cardiovascular Disease | Current | Accepting new patients |
Locations
4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000
1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226
1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006
1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- tduongwagner122961@direct.med.miami.edu
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- West Palm Beach, FL
- NPI 1659417467
Cardiovascular Disease
-
- Physical Therapist
- West Palm Beach, FL
- NPI 1699111211
-
dba UMiami Medicine Multi Specialty Services
- Internal Medicine Physician
- Miami Beach, FL
- NPI 1124768627
-
dba UMiami Medicine - Cardiology
- Cardiovascular Disease Physician
- Miami, FL
- NPI 1902859747
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Good Samaritan Medical Center
- General Acute Care Hospital
- West Palm Beach, FL
- NPI 1770515991
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
dba Sylvester Comprehensive Cancer Center
- Special Hospital
- Miami, FL
- NPI 1679660617
-
- Home Health Agency
- Delray Beach, FL
- NPI 1235137795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1720088230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 N FLAGLER DR STE 8000",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334013413",
"telephone_number": "561-655-1318",
"fax_number": "850-857-1747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 N FLAGLER DR STE 8000",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334013413",
"telephone_number": "561-655-1318",
"fax_number": "561-655-6623"
}
],
"practiceLocations": [
{
"address_1": "1717 N E St",
"address_2": "Suite 331",
"address_purpose": "LOCATION",
"city": "Pensacola",
"state": "FL",
"postal_code": "32501",
"country_code": "US",
"telephone_number": "850-484-6500",
"fax_number": "850-857-1747",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1818 N Meade St",
"address_purpose": "LOCATION",
"city": "Appleton",
"state": "WI",
"postal_code": "549113454",
"country_code": "US",
"telephone_number": "920-731-8900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUONG WAGNER",
"first_name": "THANH",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-26",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME77423",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WI",
"license": "22999",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2594315 00",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009926650",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.