Individual provider Active NPI

Timothy P Wogahn, MD

  • Family Medicine Physician
  • Wisconsin Rapids, WI
National Provider Identifier
1780696948
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
39775 Issued in WI
Practice address
2031 Peach St
Wisconsin Rapids, WI 54494-5181
Phone
(715) 423-0122
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 39775 WI Primary

Addresses

Primary practice location

2031 Peach St
Wisconsin Rapids, WI 54494-5181

Mailing address

2031 Peach St
Wisconsin Rapids, WI 54494-5181
Phone (715) 423-0122

Other identifiers 1

IdentifierTypeStateIssuer
32434800MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20051118000558 WI Practitioner - Family Practice 5991796187 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Medical Group, Inc.Group PAC ID 1052223625, 272 clinicians
Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc.Group PAC ID 9335059856, shared by 17 NPIs, 566 clinicians

Practice addresses (Care Compare)

2031 Peach St
Wisconsin Rapids, WI 54494-5181
Phone (715) 423-0122

4005 Community Ctr Dr
Weston, WI 54476-4139
Phone (715) 241-5400

410 Dewey St
Wisconsin Rapids, WI 54494-4715
Phone (715) 870-2162

420 Dewey St
Wisconsin Rapids, WI 54494-4714
Phone (715) 422-7750

824 Illinois Ave
Stevens Point, WI 54481-3112
Phone (715) 344-1600

Hospital & facility affiliations

  • Aspirus at Home Home health agency, Wausau, WI, CCN 527016
  • Compassus Home Health Home health agency, Marshfield, WI, CCN 527189
  • Aspirus at Home Hospice, Wausau, WI, CCN 521624
  • Aspirus Riverview Hospital & Clinics Inc Hospital, Wisconsin Rapids, WI, CCN 520033

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Quality
87.9
Promoting interoperability
100
Improvement activities
40
Cost
73.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39775WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Medical Group, Inc. Current Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Jun 6, 2011 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Jan 1, 2017 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Jan 1, 2017 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Jun 6, 2011 Accepting new patients
Aspirus Doctors Clinic PastSince Jan 1, 2010 Accepting new patients
Aspirus Wausau Hospital, Inc. Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

501 Aurora St
Antigo, WI 54409
Phone (715) 623-2331

2720 Plaza Dr
Ste 1400A
Wausau, WI 54401
Phone (715) 847-0426

4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

410 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-5257

2031 Peach St
Wisconsin Rapids, WI 54494
Phone (715) 423-0122

Interoperability endpoints

  • Direct secure messaging: twogahn16205@direct.aspirus.org

Organizations & group practices 8

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 5

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1780696948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 PEACH ST",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544945181",
            "telephone_number": "715-423-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 PEACH ST",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544945181",
            "telephone_number": "715-423-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOGAHN",
        "first_name": "TIMOTHY",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "39775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32434800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisconsin Rapids, WI

Sources for this page

Verify at the official NPI Registry.