Individual provider Active NPI

Andrew Wagner, M.D.

  • Diagnostic Radiology Physician
  • Harrisonburg, VA
National Provider Identifier
1992744270
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101059129 Issued in VA
Practice address
2010 Health Campus Drive
Harrisonburg, VA 22801-3248
Phone
(540) 689-1000
Fax
(540) 434-0550
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101059129 VA Primary

Addresses

Primary practice location

2010 Health Campus Drive
Harrisonburg, VA 22801-3248

Mailing address

370 Neff Ave
Harrisonburg, VA 22801-3439

Other identifiers 1

IdentifierTypeStateIssuer
7220065MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20101103000509 VA Practitioner - Diagnostic Radiology 6800080839 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of South Florida College of Medicine, 1992
Medicare assignment
May accept Medicare assignment
Group practices
Rockingham Radiologists LTDGroup PAC ID 0446263636, 11 clinicians
Spectrum Imaging SCGroup PAC ID 3678892247, 41 clinicians

Practice addresses (Care Compare)

2010 Health Campus Dr
Rockingham, VA 22801-8679
Phone (540) 432-8951

4056 Quail Oaks LN
Rockingham, VA 22801-3840
Phone (800) 695-8191

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.49 of 100Reported as group
Quality
88.98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101059129VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockingham Radiologists LTD Diagnostic Radiology CurrentSince Jul 6, 1999 Accepting new patients
Community Radiology of Virginia, Inc Past Accepting new patients

Locations

2010 Health Campus Dr
Rockingham, VA 22801
Phone (540) 689-1000

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1992744270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 NEFF AVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 HEALTH CAMPUS DRIVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013248",
            "telephone_number": "540-689-1000",
            "fax_number": "540-434-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101059129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7220065",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.