Individual provider Active NPI

Darrell D Wadas, MD

  • Gastroenterology Physician
  • Payson, AZ
National Provider Identifier
1871565739
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
13563 Issued in AZ
Practice address
127 E Main St Ste D
Payson, AZ 85541-5646
Phone
(602) 761-0707
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 13563 AZ Primary

Addresses

Primary practice location

127 E Main St Ste D
Payson, AZ 85541-5646

Mailing address

PO Box 12330
Chandler, AZ 85248-0023
Phone (602) 761-0707

Other practice location 1

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 761-0707

Other identifiers 1

IdentifierTypeStateIssuer
275215MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20050815000709 AZ Practitioner - GastroenterologyPractitioner - Internal Medicine 4183654684 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.75 of 100Reported as group
Quality
60.45
Promoting interoperability
97
Improvement activities
40
Cost
81.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13563AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Banner - University Physician Specialists LLC CurrentSince Jun 2, 2018 Accepting new patients
Gastroenterology of Arizona, PLLC Gastroenterology CurrentSince Feb 7, 2024 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Jun 2, 2018 Accepting new patients
Honorhealth Ambulatory Gastroenterology Past Accepting new patients
Ponderosa Family Care, LLC Internal Medicine Past Accepting new patients
Darrell D Wadas MD PC Gastroenterology PastSince Jan 1, 2007 Accepting new patients

Locations

2820 N Pinal Ave
Ste 12467
Casa Grande, AZ 85122

127 E Main St
Ste D
Payson, AZ 85541
Phone (928) 468-8603

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1441 N 12th St
Fl 2
Phoenix, AZ 85006
Phone (602) 521-5180

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

1441 N 12th St
Fl 3
Phoenix, AZ 85006
Phone (602) 521-5700

1441 N 12th St
Fl 2AND3
Phoenix, AZ 85006

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEIBDA
  • Direct secure messaging: gastroenterologyofarizona.darrellwadas@157455.advancedmd-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1871565739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12330",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852480023",
            "telephone_number": "602-761-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 E MAIN ST STE D",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415646",
            "telephone_number": "602-761-0707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 E McDowell Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850062612",
            "country_code": "US",
            "telephone_number": "602-761-0707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADAS",
        "first_name": "DARRELL",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "13563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275215",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Payson, AZ

Sources for this page

Verify at the official NPI Registry.