NPIMap

Individual provider Active NPI

Patrick L Wagner, MD

  • Surgery Physician
  • Pittsburgh, PA
National Provider Identifier
1811154610
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD439548 Issued in PA
Practice address
314 E North Ave
Pittsburgh, PA 15212-4737
Phone
(412) 359-3731
Fax
(412) 442-2323
NPI assigned
May 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101251305 VA
Surgery Physician 208600000X MD439548 PA Primary

Addresses

Primary practice location

314 E North Ave
Pittsburgh, PA 15212-4737

Mailing address

314 E North Ave
Pittsburgh, PA 15212-4737
Phone (412) 359-3731

Other practice location 1

400 Campus Blvd Ste 210
Winchester, VA 22601-6906
Phone (540) 536-3470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA, WV3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20100805000853 PA Practitioner - Surgical OncologyPractitioner - General Surgery 9335272749 Reassigns benefits to 1 organization
I20120611000684 VA Practitioner - General Surgery 9335272749 Reassigns benefits to 1 organization
I20190430000567 WV Practitioner - Surgical Oncology 9335272749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Surgical OncologyAlso: General Surgery
Education
Harvard Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

314 E N Ave
Agh Radiation Oncology
Pittsburgh, PA 15212-4737
Phone (412) 359-3400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Nov 8, 2020 Accepting new patients
East Mountain Health Physicians, Inc. CurrentSince Mar 18, 2019 Accepting new patients
East Mountain Health Physicians, Inc. Surgery CurrentSince Mar 18, 2019 Accepting new patients
East Mountain Health Physicians Inc. Current Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Jul 2, 2012 Accepting new patients
Valley Physician Enterprise, Inc Surgery CurrentSince Jul 2, 2012 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Nov 8, 2020 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
West Penn Allegheny Health System Inc Past Accepting new patients
Allegheny Clinic Past Accepting new patients
East Mountain Health Physicians, Inc. Past Accepting new patients

Locations

2600 Haymaker Rd
Monroeville, PA 15146
Phone (412) 856-7740

314 E North Ave
Pittsburgh, PA 15212
Phone (412) 325-5700

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

4815 Liberty Ave
Ste 120
Pittsburgh, PA 15224
Phone (412) 359-6444

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

220 Campus Blvd
Ste 200
Winchester, VA 22601
Phone (540) 536-0307

400 Campus Blvd
Ste 210
Winchester, VA 22601
Phone (540) 536-3470

190 Campus Blvd
Ste 410
Winchester, VA 22601
Phone (540) 450-2339

220 Campus Blvd
Ste 100
Winchester, VA 22601

97 Administrative Dr
Ste 200A
Martinsburg, WV 25404
Phone (304) 350-3230

100 Oak Lee Dr
Ranson, WV 25438
Phone (304) 350-0001

Interoperability endpoints

  • Direct secure messaging: pwagner336761@direct.ahn.org
  • Direct secure messaging: pwagner110513@soc.inova.org

Organizations & group practices 12

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 6

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": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1811154610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 E NORTH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124737",
            "telephone_number": "412-359-3731",
            "fax_number": "412-442-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E NORTH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124737",
            "telephone_number": "412-359-3731",
            "fax_number": "412-442-2323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Campus Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226016906",
            "country_code": "US",
            "telephone_number": "540-536-3470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "PATRICK",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101251305",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD439548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.