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DANYA J WENZLER M.D.
NPI 1154511244
Internal Medicine - Infectious Disease in Randolph, NJ

Active since July 26, 2007PECOS Enrolled
82.56/100
CMS Quality Rating
765 ROUTE 10 E, RANDOLPH, NJ 07869(973) 989-0068(973) 361-8955 Get Directions Write a Review

NPPES record last updated: September 20, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Danya J Wenzler M.d. NPPES

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

DANYA J WENZLER M.D. (NPI 1154511244) is an individual infectious disease provider in Randolph, New Jersey, licensed in New Jersey (25MA08762300) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Boston University School Of Medicine (2010).

NPPES Registry Identity

NPI1154511244
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameDANYA J WENZLERCredential: M.D.
Location Address765 ROUTE 10 ERandolph, NJ 07869-1925
Mailing Address105 Raider Blvd, Suite 101Hillsborough, NJ 08844-1528 · (908) 281-0221 · Fax (908) 281-0940
Phone(973) 989-0068
Fax(973) 361-8955
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2010
Enumeration DateJuly 26, 2007
Last NPPES UpdateSeptember 20, 2010
✔ NPI 1154511244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in NJ · 25MA08762300
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedHospitalistTaxonomy 208M00000X · License 231999 (MA)
765 ROUTE 10 E, Randolph, NJ 07869
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Danya J Wenzler M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234221185
PECOS Enrollment IDI20100910000805
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.

Medicare Billing Reassignment

Medicare enrollment records show Danya Wenzler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Id Care LLC
25 mi
Infectious Disease
105 RAIDER BLVD, SUITE 101
Hillsborough, NJ 08844
  • Reassigned Medicare billing, New Jersey enrollment
  • 146 clinicians in this Medicare group
NPI 1639146277 (908) 281-0221

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
1,139 services471 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
412 services280 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
404 services377 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
138 services135 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
47 services46 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Newton Medical Center

Acute Care Hospitals · Newton, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310028
Location175 High StNewton, NJ 07860 · Sussex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07869 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.4
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

LINDSAY ELIZABETH KELLOGG APN
Nurse Practitioner
765 ROUTE 10 E, SUITE 201
RANDOLPH, NJ 07869
Morris County (973) 989-0068
KAITLYN SMITH
Nurse Practitioner
765 ROUTE 10 E, STE 201
RANDOLPH, NJ 07869
Morris County (973) 479-1128
BARBARA BAGGSTROM CPNP
Nurse Practitioner
765 ROUTE 10 E, STE 203
RANDOLPH, NJ 07869
Morris County (973) 659-9991
DR. SIREESHA B REDDY MD
Internal Medicine (Infectious Disease)
765 ROUTE 10 E
RANDOLPH, NJ 07869
Morris County (973) 989-0068
ANGELA MARIE GIORDANO APN
Nurse Practitioner (Adult Health)
765 ROUTE 10 E, SUITE 201
RANDOLPH, NJ 07869
Morris County (973) 989-0068
FAZILA ASLAM MD
Internal Medicine (Infectious Disease)
765 ROUTE 10 E, STE. 201
RANDOLPH, NJ 07869
Morris County (973) 989-0068
DAMANPREET UBHI MD, BS
Internal Medicine (Infectious Disease)
765 ROUTE 10 E
RANDOLPH, NJ 07869
Morris County (973) 989-0068
MELANIE ROUSE VALENTIN-TORRES M.D.
Internal Medicine (Infectious Disease)
765 ROUTE 10 E, SUITE 201
RANDOLPH, NJ 07869
Morris County (973) 989-0068

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 Danya Wenzler's NPI number?

The NPI number for Danya Wenzler is 1154511244. It was assigned to this individual provider in the NPPES registry on July 26, 2007.

Where is Danya Wenzler located?

Danya Wenzler practices at 765 Route 10 E, Randolph, NJ 07869. The listed phone number is (973) 989-0068.

What is Danya Wenzler's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Danya Wenzler enrolled in Medicare?

Yes. Danya Wenzler is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Danya Wenzler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Danya Wenzler reassigns Medicare benefits to Id Care LLC (Hillsborough, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Danya Wenzler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Danya Wenzler accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Oscar Health and Taro Health list Danya Wenzler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Danya Wenzler affiliated with any hospitals?

According to CMS data, Danya Wenzler is affiliated with Morristown Medical Center and Newton Medical Center.

When was this NPI record last updated?

The NPPES record for Danya Wenzler was last updated on September 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.