Individual provider Active NPI

Michael G Wadzinski, M.D.

  • Ophthalmology Physician
  • Sioux City, IA
National Provider Identifier
1982674297
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
29715 Issued in IA
Practice address
5855 Sunnybrook Dr.
Sioux City, IA 51106
Phone
(712) 226-3937
Fax
(712) 224-3973
NPI assigned
Jan 26, 2006
Last updated
Jun 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4798 SD
Ophthalmology Physician 207W00000X 18333 NE
Ophthalmology Physician 207W00000X 29715 IA Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X 29715 IA

Addresses

Primary practice location

5855 Sunnybrook Dr.
Sioux City, IA 51106

Mailing address

5855 Sunnybrook Dr
Sioux City, IA 51106-4203
Phone (712) 226-3937

Other identifiers 3

IdentifierTypeStateIssuer
10025482400MedicaidNE
6301510MedicaidSD
2106534MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA, SD3 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

Enrollment IDStateProvider typePAC IDDetails
I20070322000569 NE Practitioner - Ophthalmology 1759485204 Reassigns benefits to 1 organization
I20070612000353 IA Practitioner - Ophthalmology 1759485204 Reassigns benefits to 1 organization
I20070621000081 SD Practitioner - Ophthalmology 1759485204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Nebraska College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael Wadzinski, PCGroup PAC ID 2062518756, 2 clinicians

Practice addresses (Care Compare)

100 N 37TH St
Norfolk, NE 68701-3265
Phone (712) 226-3937

415 W 3Rd St
Yankton, SD 57078-4201
Phone (712) 226-3937

5855 Sunnybrook Dr
Sioux City, IA 51106-4203
Phone (712) 226-3937

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Eye Associates Siouxland, P.L.C. Ophthalmology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mwadzinski@wadzinski.intellechartdirect.net
  • Direct secure messaging: mwadzinski128438@direct.unitypoint.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1982674297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 SUNNYBROOK DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064203",
            "telephone_number": "712-226-3937",
            "fax_number": "712-224-3973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 SUNNYBROOK DR.",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "51106",
            "telephone_number": "712-226-3937",
            "fax_number": "712-224-3973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADZINSKI",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SD",
            "license": "4798",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NE",
            "license": "18333",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "29715",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "IA",
            "license": "29715",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025482400",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6301510",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2106534",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.