ROBERT WAGNER MD
NPI 1154308039
Radiology - Nuclear Radiology in Maywood, IL

Active since December 30, 2005PECOS EnrolledAccepts Medicare Assignment
2160 S 1ST AVE, (MCGAW ENT., RM 47), MAYWOOD, IL 60153(708) 216-5221(708) 216-0899 Get Directions Write a Review

NPPES record last updated: April 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Robert Wagner Md NPPES

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

ROBERT WAGNER MD (NPI 1154308039) is an individual nuclear radiology provider in Maywood, Illinois, licensed in Illinois (36071977) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Loyola Gottlieb Memorial Hospital, and is a graduate of Rush Medical College Of Rush University (1984).

NPPES Registry Identity

NPI1154308039
Entity TypeIndividualMale
Primary Taxonomy2085N0904X
Provider Legal NameROBERT WAGNERCredential: MD
Location Address2160 S 1ST AVE, (MCGAW ENT., RM 47)Maywood, IL 60153
Mailing Address2160 S 1st Ave, (mcgaw Ent., Rm 47)Maywood, IL 60153 · (708) 216-5221 · Fax (708) 216-0899
Fax(708) 216-0899
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 1984
Enumeration DateDecember 30, 2005
Last NPPES UpdateApril 23, 2021
NPPES CertifiedApril 23, 2021
NPI 1154308039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Nuclear RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085N0904X
License Licensed in IL · 36071977
Definition
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
2160 S 1ST AVE, Maywood, IL 60153

Other Identifiers 1

Medicaid36071977IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Robert Wagner Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688604770
PECOS Enrollment IDI20050818000215
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.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
667 services667 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
377 services377 patients
Nuclear medicine study from skull base to mid-thigh with ct scan 78815
A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
302 services265 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
156 services156 patients
Nuclear medicine study of bone and/or joint whole body 78306
A nuclear medicine study of bone and/or joint whole body involves injecting a small amount of radioactive material into your body. This material travels to your bones and emits energy. A special camera captures this energy, creating images of your bones to help identify any abnormalities.
59 services54 patients
Nuclear medicine study, spect imaging with concurrent ct scan, 1 area or single acquisition, single day imaging 78830
A nuclear medicine study with SPECT and concurrent CT scan is a special imaging test. It uses a small amount of radioactive substance and advanced imaging techniques to create detailed pictures of your internal body structures. It aids in diagnosing and tracking the progress of treatment for various diseases.
25 services22 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Loyola Gottlieb Memorial Hospital

Acute Care Hospitals · Melrose Park, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140008
Location701 West North AveMelrose Park, IL 60160 · Cook County
Emergency services

Macneal Hospital

Acute Care Hospitals · Berwyn, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140054
Location3249 South Oak Park AvenueBerwyn, IL 60402 · Cook County
Emergency services Birthing friendly

Loyola University Medical Center

Acute Care Hospitals · Maywood, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140276
Location2160 S 1st AvenueMaywood, IL 60153 · Cook County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Podiatrist (Foot & Ankle Surgery)
2160 S 1ST AVE
MAYWOOD, IL 60153
Psychiatry & Neurology (Neurology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Oral & Maxillofacial Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Psychiatry & Neurology (Psychiatry)
2160 S 1ST AVE
MAYWOOD, IL 60153
Student in an Organized Health Care Education/Training Program
2160 S 1ST AVE
MAYWOOD, IL 60153
Orthopaedic Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Internal Medicine
2160 S 1ST AVE
MAYWOOD, IL 60153

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 Robert Wagner's NPI number?

The NPI number for Robert Wagner is 1154308039. It was assigned to this individual provider in the NPPES registry on December 30, 2005.

Where is Robert Wagner located?

Robert Wagner practices at 2160 S 1st Ave (mcgaw Ent., Rm 47), Maywood, IL 60153. The listed phone number is (708) 216-5221.

What is Robert Wagner's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Nuclear Radiology, with taxonomy code 2085N0904X.

Is Robert Wagner enrolled in Medicare?

Yes. Robert Wagner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Robert Wagner affiliated with any hospitals?

According to CMS data, Robert Wagner is affiliated with Loyola Gottlieb Memorial Hospital, Macneal Hospital and Loyola University Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Wagner was last updated on April 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.