Active NPI
Andrew Wagner, M.D.
- Diagnostic Radiology Physician
- Harrisonburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0101059129
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7220065 | Medicaid | VA |
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
Enrollment records 1
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
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
- Sentara RMH Medical Center
- Augusta Health
- University of Virginia Medical Center
- Page Memorial Hospital, Inc
- Shenandoah Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.49 of 100
- Quality
- 88.98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101059129 | VA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockingham Radiologists LTD | Diagnostic Radiology | Current | 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.
-
- Diagnostic Radiology Physician
- Harrisonburg, VA
- NPI 1851348957
-
dba Community Radiology of VA
- Radiology Clinic/Center
- Bluefield, VA
- NPI 1568449858
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba t/a Augusta Health
- General Acute Care Hospital
- Fishersville, VA
- NPI 1053301127
-
- Critical Access Hospital
- Luray, VA
- NPI 1326040684
-
dba UVA Health Sciences Center
- General Acute Care Hospital
- Charlottesville, VA
- NPI 1780630608
-
- General Acute Care Hospital
- Harrisonburg, VA
- NPI 1780694372
-
- Critical Access Hospital
- Woodstock, VA
- NPI 1033166442
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.