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DR. OSVALDO WAGENER M.D. NPI 1770563009


NPI Information

NPI: 1770563009
Provider Name: DR. OSVALDO WAGENER, M.D.
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
1111 SUPERIOR ST
SUITE 204
MELROSE PARK, IL
ZIP 60160
Phone: (708) 223-7920
Get Directions

DR. Osvaldo Wagener, M.D. is a nephrology internal medicine in Melrose Park, IL with 43 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Osvaldo Wagener, M.D. NPI is 1770563009. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1111 SUPERIOR ST
SUITE 204
MELROSE PARK, IL
ZIP 60160-138
Phone: (708) 223-7920
Fax: (708) 338-1780

The NPI 1770563009 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Dialysis services (4 or more physician visits per month), patient 20 years of age and older (HCPCS:90960)

The enumeration date for this NPI number is 1/20/2006 and was last updated on 3/10/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrology036086015ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101636011OTHERILLINOISBCBS PROVIDER ID
2036086015MEDICAIDILLINOIS
3IL7760001MEDICARE PINILLINOIS
4P00291677OTHERILLINOISRAILROAD MEDICARE
536320OTHERILLINOISADVOCATE HLTH CENTERS ID
6G76088MEDICARE UPIN
7IL7759001MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.