Erica D. Wadas, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

60404 Issued in AZ

Practice address

4425 E Agave Rd Ste 106
Phoenix, AZ 85044-0620

Phone

(480) 447-9184

NPI assigned

Apr 21, 2015

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2021 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1982091641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 E AGAVE RD STE 106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850440620",
            "telephone_number": "480-447-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 E AGAVE RD STE 106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850440620",
            "telephone_number": "480-447-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADAS",
        "first_name": "ERICA",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "60404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• W.E.L.L Emterprise LLC
• W.L.M. Medical Services P.C. (Community Medical Clinic)
• Elizabeth A Waack, FNP-C
• Waamo Medical Transportation, LLC
• Allan M Wachter, MD
• Andrea Shunette Waddell-Pratt, PH.D.
• Clare B Waddicor, MA LAC
• Laura Waddington, LMSW
• Kathleen Kiley Wade, PH.D.
• Michael Dennis Wade, MD

• Internal Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.