Active NPI
James L Wise, M.D.
- Gastroenterology Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 42293
- Practice address
- 1601 Trinity St Ste 9.901S
Austin, TX 78712-1765 - Phone
- (512) 324-9660
- NPI assigned
- Dec 28, 2005
- Last updated
- Jan 8, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 42293 | MN | Primary |
Addresses
Primary practice location
1601 Trinity St Ste 9.901S
Austin, TX 78712-1765
Mailing address
400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364
Other practice location 1
500 Harvard St SE
Minneapolis, MN 55455-0363
Phone (612) 625-8999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 453953200 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1004 W 32ND St
200 Ascension Texas Spine and Scoliosis
Austin, TX 78705-1006
Phone (512) 324-3580
1201 W 38TH St
Austin, TX 78705-1006
Phone (512) 324-1000
1301 W 38TH St
Austin, TX 78705-1012
1400 N Ih 35
Austin, TX 78701-1926
1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300
1500 Red River St
Austin, TX 78701-1918
Phone (512) 324-7000
1601 Trinity St
Austin, TX 78712-1765
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 19 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Bethesda Hospital | Current | Accepting new patients | |
| Seton Family of Doctors | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Healtheast Woodwinds Hospital | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Healtheast St. John's Hospital | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Care System | Current | Accepting new patients | |
| Seton Family of Doctors | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Centracare Clinic | Past | Accepting new patients |
Locations
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300
600 W 98th St
Minneapolis, MN 55420
Phone (952) 881-2651
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
1900 Centracare Cir
Ste 2400
Saint Cloud, MN 56303
Phone (320) 229-4916
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000
559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000
69 Exchange St W
Saint Paul, MN 55102
Phone (651) 232-1100
1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100
1301 W 38th St
Ste 315
Austin, TX 78705
Phone (512) 324-3340
1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300
1601 Trinity St
Ste 9901S
Austin, TX 78712
Phone (512) 324-7831
Interoperability endpoints
- james.wise.1@8363.direct.athenahealth.com
Organizations & group practices 19
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.
-
- Neurological Surgery Physician
- Austin, TX
- NPI 1588997233
-
- Long Term Care Hospital
- Saint Paul, MN
- NPI 1194787465
-
dba Fairview Clinics-Hiawatha
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1346432218
-
dba M Health Fairview Recovery Clinic
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
dba HealthEast Vadnais Heights Clinic
- Clinic/Center
- Vadnais Heights, MN
- NPI 1639125503
-
dba Fairview St John's Hospital
- General Acute Care Hospital
- Maplewood, MN
- NPI 1447218482
-
dba Fairview Woodwinds Hospital
- General Acute Care Hospital
- Woodbury, MN
- NPI 1356309322
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
dba Ascension Texas Imaging
- Radiology Clinic/Center
- Austin, TX
- NPI 1275290694
-
dba M Health Fairview Clinic - Eagan
- Primary Care Clinic/Center
- Eagan, MN
- NPI 1043402688
-
- Primary Care Clinic/Center
- Saint Paul, MN
- NPI 1396552147
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Dell Seton Medical Center at the University of Texas
- General Acute Care Hospital
- Austin, TX
- NPI 1093810327
-
dba Ascension Seton Medical Center Austin
- General Acute Care Hospital
- Austin, TX
- NPI 1164526786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1982681334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E 3RD ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558051951",
"telephone_number": "218-786-8364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 TRINITY ST STE 9.901S",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787121765",
"telephone_number": "512-324-9660"
}
],
"practiceLocations": [
{
"address_1": "500 Harvard St SE",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554550363",
"country_code": "US",
"telephone_number": "612-625-8999",
"fax_number": "612-625-5620",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WISE",
"first_name": "JAMES",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-28",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MN",
"license": "42293",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "453953200",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.