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DR. JOHN D WAGNER MD, MBA
NPI 1033262340
Internal Medicine - Nephrology in Brooklyn, NY

Active since January 19, 2007PECOS Enrolled
451 CLARKSON AVE RM B-1147, KINGS COUNTY HOSPITAL CENTER, BROOKLYN, NY 11203(718) 245-3921(718) 245-5347 Get Directions Write a Review

NPPES record last updated: March 23, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. John D Wagner Md, Mba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN D WAGNER MD, MBA (NPI 1033262340) is an individual nephrology provider in Brooklyn, New York, licensed in New York (140277) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033262340
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. JOHN D WAGNERCredential: MD, MBA
Location Address451 CLARKSON AVE RM B-1147, KINGS COUNTY HOSPITAL CENTERBrooklyn, NY 11203-2054
Mailing Address451 Clarkson Ave Rm B-1147, Kings County Hospital CenterBrooklyn, NY 11203-2054 · (718) 245-3921 · Fax (718) 245-5347
Phone(718) 245-3921
Fax(718) 245-5347
Sole ProprietorYes
Enumeration DateJanuary 19, 2007
Last NPPES UpdateMarch 23, 2014
✔ NPI 1033262340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NY · 140277
Definition
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.
451 CLARKSON AVE RM B-1147, Brooklyn, NY 11203
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Other Identifiers 3

Medicare UPINC06536
Medicare ID-Type Unspecified19D121
Medicaid00837072NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John D Wagner Md, Mba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Wagner's NPI number?

The NPI number for John Wagner is 1033262340. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is John Wagner located?

John Wagner practices at 451 Clarkson Ave Rm B-1147 Kings County Hospital Center, Brooklyn, NY 11203. The listed phone number is (718) 245-3921.

What is John Wagner's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is John Wagner enrolled in Medicare?

Yes. John Wagner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Wagner was last updated on March 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.