Active NPI
James H Wudel, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Vero Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- ME147149
- Practice address
- 1000 36TH St
Vero Beach, FL 32960-4862 - Phone
- (772) 567-4311
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 20490 | NE | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 20490 | NE | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 12243 | SD | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | ME147149 | FL | Primary |
Addresses
Primary practice location
1000 36TH St
Vero Beach, FL 32960-4862
Mailing address
1000 36TH St
Vero Beach, FL 32960-4862
Phone (772) 567-4311
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100300950A | Medicaid | KS | |
| 47070592306 | Medicaid | NE | |
| 10026072500 | Medicaid | NE | |
| 47070592300 | Medicaid | NE | |
| 10026072400 | Medicaid | NE | |
| 47070592305 | Medicaid | NE | |
| 10026072300 | Medicaid | NE | |
| 47070592301 | Medicaid | NE | |
| 10026072600 | Medicaid | NE | |
| 47070592302 | Medicaid | NE | |
| 47070592313 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 36TH St
Suite 5105
Vero Beach, FL 32960-4862
Phone (772) 567-4311
Hospital & facility affiliations
- Indian River Home Care Inc
- Cleveland Clinic Indian River Hospital
- Cleveland Clinic Martin North Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 39 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20490 | NE | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carle West Physician Group Inc | Current | Accepting new patients | |
| Bryan Hospital Kearney | Current | Accepting new patients | |
| Bryan Hospital Kearney | Current | Accepting new patients | |
| Indian River Health Services Inc | Current | Accepting new patients | |
| Indian River Health Services Inc | Current | Accepting new patients | |
| Indian River Health Services Inc | Past | Accepting new patients | |
| North Platte Heart Institute PC | Past | Accepting new patients |
Locations
1000 36th St
Ste 5105
Vero Beach, FL 32960
1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666
3450 11th Ct
Ste 105
Vero Beach, FL 32960
Phone (772) 226-4830
1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
816 22nd Ave
Ste 100
Kearney, NE 68845
Phone (308) 865-2263
804 22nd Ave
Kearney, NE 68845
Phone (308) 455-3600
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- jwudel344319@carlehiedirect.net
Organizations & group practices 7
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.
-
dba Behavioral Health Center
- Psychiatry Physician
- Vero Beach, FL
- NPI 1710933031
-
dba Kearney Regional Medical Center Platte Valley Medical Clinic
- Family Medicine Physician
- Kearney, NE
- NPI 1033875380
-
- Family Medicine Physician
- Normal, IL
- NPI 1467074138
-
dba IRHS Pulmonary
- Pulmonary Disease Physician
- Vero Beach, FL
- NPI 1184175861
-
dba Kearney Regional Medical Center
- General Acute Care Hospital
- Kearney, NE
- NPI 1407513484
-
- Internal Medicine Physician
- Vero Beach, FL
- NPI 1124074455
-
- Ambulatory Surgical Clinic/Center
- North Platte, NE
- NPI 1306058425
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Vero Beach, FL
- NPI 1356634604
-
dba Cleveland Clinic Indian River Hospital
- General Acute Care Hospital
- Vero Beach, FL
- NPI 1376512988
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702944000000",
"number": "1942395215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 36TH ST",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329604862",
"telephone_number": "772-567-4311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 36TH ST",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329604862",
"telephone_number": "772-567-4311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WUDEL",
"first_name": "JAMES",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NE",
"license": "20490",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "NE",
"license": "20490",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "SD",
"license": "12243",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "FL",
"license": "ME147149",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100300950A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47070592306",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026072500",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47070592300",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026072400",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47070592305",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026072300",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47070592301",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026072600",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47070592302",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47070592313",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.