DYLAN AMBROSE WADELL MD
NPI 1194428706
Student in an Organized Health Care Education/Training Program in Hollywood, FL

Q: What is Dylan Wadell's NPI number?

The NPI number for Dylan Wadell is 1194428706. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Q: What is Dylan Wadell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Dylan Wadell was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 23, 2023PECOS Enrolled

3501 JOHNSON ST, HOLLYWOOD, FL 33021(954) 987-2000 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 5, 2023, Mar 23, 2023 (2 updates tracked since 2023).

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About Dylan Ambrose Wadell Md NPPES

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

DYLAN AMBROSE WADELL MD (NPI 1194428706) is an individual student in an organized health care education/training program in Hollywood, Florida and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194428706

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDYLAN AMBROSE WADELLCredential: MD

Location Address3501 JOHNSON STHollywood, FL 33021-5421

Mailing Address3501 Johnson StHollywood, FL 33021-5421 · (954) 987-2000

Phone(954) 987-2000

Sole ProprietorNo

Enumeration DateMarch 23, 2023

Last NPPES UpdateApril 5, 20232 updates tracked since enumeration

NPPES CertifiedApril 5, 2023

✔ NPI 1194428706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3501 JOHNSON ST, Hollywood, FL 33021

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dylan Ambrose Wadell Md 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.

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.

DR. LESTER GOLDBERG M.D.

Radiology (Diagnostic Radiology)