JERRY KIYOHARU WADA M.D. - NPI 1487764379 - Internal Medicine in Glendale, CA

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RH0003X and a focus in Hematology & Oncology.

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About Jerry Kiyoharu Wada M.d. NPPES

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

JERRY KIYOHARU WADA M.D. (NPI 1487764379) is an individual hematology & oncology provider in Glendale, California, licensed in California (G22808) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1487764379

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameJERRY KIYOHARU WADACredential: M.D.

Location Address1505 WILSON TER STE 200Glendale, CA 91206-4073

Mailing Address541 W Colorado St Ste 205Glendale, CA 91204-3640 · (323) 254-0046 · Fax (323) 488-9782

Phone(818) 409-0105

Fax(818) 409-0151

Sole ProprietorNo

Enumeration DateAugust 30, 2006

Last NPPES UpdateMarch 12, 20213 updates tracked since enumeration

NPPES CertifiedMarch 12, 2021

✔ NPI 1487764379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in CA · G22808

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

1505 WILSON TER STE 200, Glendale, CA 91206

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Other Identifiers 2

Medicaid00G228080CA

OtherG22808CA · Ca Medical License

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.

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

98%47 patients4/55-star benchmark: 100%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

79%28 patients3/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

29%370 patients2/55-star benchmark: 99%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

60%370 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

LOS ANGELES HEMATOLOGY ONCOLOGY MEDICAL GROUP

Pharmacy (Clinic Pharmacy)