Matthew Phillip Wagner, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

D79552 Issued in MD

Practice address

2002 Medical Pkwy Ste 235
Annapolis, MD 21401-3260

Phone

(410) 266-2770

Fax

(410) 841-6251

NPI assigned

Aug 4, 2010

Last updated

Jul 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, MD, DC3 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 3

Specialty

Diagnostic RadiologyAlso: Nuclear Medicine

Education

Loma Linda University School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brown, Croft, Frazier, PAGroup PAC ID 9537101746, 28 clinicians

Luminis Health Imaging, Inc.Group PAC ID 8729054598, 22 clinicians

University of Maryland Community Medical Group IncGroup PAC ID 3678472214, 446 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023
• University of MD Shore Medical Ctr at Chestertown Hospital, Chestertown, MD, CCN 210030
• University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037
• Luminis Health Doctors Community Medical Ctr, Inc Hospital, Lanham, MD, CCN 210051

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mwagner547877@direct.umm.edu

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.

• Brown, Croft, Frazier, PA

  dba Annapolis Radiology Associates

  • Diagnostic Radiology Physician
  • Annapolis, MD
  • NPI 1902807324

  DC, Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Luminis Health Imaging, Inc.

  dba Anne Arundel Diagnostics, Inc

  • Diagnostic Radiology Physician
  • Annapolis, MD
  • NPI 1366420879

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• University of Maryland Community Medical Group, Inc.

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1477530624

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Charter Radiology, LLC

  • Diagnostic Radiology Physician
  • Columbia, MD
  • NPI 1639506587

  Multi-Specialty

  Medicare reassignment NPD
• Delmarva Radiology P.a.

  • Diagnostic Ultrasound Physician
  • Salisbury, MD
  • NPI 1699733527

  Multi-Specialty

  Medicare reassignment NPD
• Luminis Health Imaging, Inc.

  dba Anne Arundel Diagnostics, Inc

  • Radiology Clinic/Center
  • Bowie, MD
  • NPI 1194825240

  DC, Multi-Specialty

  Medicare reassignment NPD
• Roanoke Imaging LLC

  dba Lewis Gale Imaging at Brambleton

  • Diagnostic Radiology Physician
  • Roanoke, VA
  • NPI 1073750816

  Multi-Specialty

  Medicare reassignment NPD
• Shore Health System Inc

  dba Diagnostic and Imaging Center

  • Radiology Clinic/Center
  • Easton, MD
  • NPI 1699286401
  NPD
• Shore Health System, Inc

  dba Um Shore Regional Health Diagnostics and Imaging Center at Cambridge

  • Radiology Clinic/Center
  • Cambridge, MD
  • NPI 1801475637
  NPD
• University of Maryland Community Medical Group, Inc.

  • Psychiatry Physician
  • La Plata, MD
  • NPI 1679393854

  Multi-Specialty

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chester River Hospital Center

  dba University of Maryland Shore Medical Center at Chestertown

  • General Acute Care Hospital
  • Chestertown, MD
  • NPI 1679536809
  Care Compare affiliation
• Luminis Health Anne Arundel Medical Center, Inc.

  dba Conexus Laboratories Inc.

  • Clinical Medical Laboratory
  • Annapolis, MD
  • NPI 1356885032

  Hospital

  Care Compare affiliation
• Luminis Health Anne Arundel Medical Center, Inc.

  • General Acute Care Hospital
  • Annapolis, MD
  • NPI 1477517225
  Care Compare affiliation
• Luminis Health Doctors Community Medical Center, Inc.

  dba Doctors Community Hospital

  • General Acute Care Hospital
  • Lanham, MD
  • NPI 1730136532
  Care Compare affiliation
• Shore Health System, Inc

  dba UM Shore Medical Center at Dorchester

  • General Acute Care Hospital
  • Cambridge, MD
  • NPI 1194784751
  Care Compare affiliation
• Shore Health System, Inc

  • Clinical Medical Laboratory
  • Easton, MD
  • NPI 1477513273

  Hospital

  Care Compare affiliation
• Shore Health System, Inc

  dba UM Shore Medical Center at Easton

  • General Acute Care Hospital
  • Easton, MD
  • NPI 1669431219
  Care Compare affiliation

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1841504503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 MEDICAL PKWY STE 235",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013260",
            "telephone_number": "410-266-2770",
            "fax_number": "410-841-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 MEDICAL PKWY STE 235",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013260",
            "telephone_number": "410-266-2770",
            "fax_number": "410-841-6251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Medical Pkwy Ste 202",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013744",
            "country_code": "US",
            "telephone_number": "443-481-5660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4175 N Hanson Ct Ste 102",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207163179",
            "country_code": "US",
            "telephone_number": "443-481-3260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "MATTHEW",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-04",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D79552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa L Wade
• Kristen Wadlington
• Ryan Matthew Wagener, RPH
• James M Wagner, D.C.
• Jennah Castleman Wagner, DMD
• Priya Tahiliani Wagner, M.D.
• Sarah Wagner
• John Harvey Wagoner, M.D., PH.D., MBA
• Marjorie P Wagovich, PT
• Maureen Ann Wahl, LCSW-C

• Diagnostic Radiology Physician in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Diagnostic Radiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.

Verify at the official NPI Registry.