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DR. ANUJ WADHWA M.D.
NPI 1497090419
Internal Medicine in Guthrie Center, IA

Active since December 02, 2012PECOS EnrolledAccepts Medicare Assignment
96.19/100
CMS Quality Rating
710 N 12TH ST, GUTHRIE CENTER, IA 50115(641) 332-2201(641) 332-2702 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Anuj Wadhwa M.d. NPPES

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

DR. ANUJ WADHWA M.D. (NPI 1497090419) is an individual internal medicine provider in Guthrie Center, Iowa, licensed in Iowa (40646) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS, is affiliated with Guthrie County Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1497090419
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. ANUJ WADHWACredential: M.D.
Location Address710 N 12TH STGuthrie Center, IA 50115-1549
Mailing Address710 N 12th StGuthrie Center, IA 50115-1549 · (641) 332-2201 · Fax (641) 332-2702
Phone(641) 332-2201
Fax(641) 332-2702
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateDecember 2, 2012
Last NPPES UpdateApril 3, 2024
NPPES CertifiedApril 3, 2024
✔ NPI 1497090419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IA · 40646
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
710 N 12TH ST, Guthrie Center, IA 50115
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Anuj Wadhwa M.d. 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 ID3173750254
PECOS Enrollment IDI20221007000338
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 Reassignments

3

Medicare enrollment records show Anuj Wadhwa reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Guthrie County Hospital
Same address
Critical Access
710 N 12TH ST
Guthrie Center, IA 50115
  • Reassigned Medicare billing, Iowa enrollment
  • 28 clinicians in this Medicare group
NPI 1366414534 (641) 332-2201
Clarinda Regional Health Center
72 mi
Critical Access
220 ESSIE DAVISON DR
Clarinda, IA 51632
  • Reassigned Medicare billing, Iowa enrollment
  • 130 clinicians in this Medicare group
NPI 1366486946 (712) 542-2176
Chattanooga Hamilton County Hospital Authority
654 mi
Emergency Medicine
128 WHEELERTOWN AVENUE
Pikeville, TN 37367
  • Reassigned Medicare billing, Tennessee enrollment
  • 533 clinicians in this Medicare group
NPI 1023178787 (423) 447-2112

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

Hospital Affiliations CMS Care Compare

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

Guthrie County Hospital

Critical Access Hospitals · Guthrie Center, IA
OwnershipVoluntary non-profit - Other
CMS Certification Number161314
Location710 North 12th StreetGuthrie Center, IA 50115 · Guthrie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50115 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

96.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.2
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$19.50 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$109.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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. CODY MARIE SILKER-WILHITE D.O.
Pediatrics
710 N 12TH ST
GUTHRIE CENTER, IA 50115
Guthrie County (641) 332-2201
KATHLEEN M CORE ARNP
Nurse Practitioner
710 N 12TH ST
GUTHRIE CENTER, IA 50115
Guthrie County (641) 332-2201
KACIE ANN WOLINSKI SLP
Speech-Language Pathologist
710 N 12TH ST
GUTHRIE CENTER, IA 50115
Guthrie County (641) 332-3810
GUTHRIE COUNTY HOSPITAL
Medicare Defined Swing Bed Unit
710 N 12TH ST
GUTHRIE CENTER, IA 50115
Guthrie County (641) 332-2201
MRS. MARCIA CAROL ROENFELD ARNP
Nurse Practitioner (Family)
710 N 12TH ST
GUTHRIE CENTER, IA 50115
Guthrie County (641) 332-3900
JANE K DEETS ARNP
Nurse Practitioner
710 N 12TH ST
GUTHRIE CENTER, IA 50115
Guthrie County (641) 332-2201
MS. BRENDA JANELLE HALLING R.PH.
Pharmacist
710 N 12TH ST
GUTHRIE CENTER, IA 50115
Guthrie County (641) 332-2201
SUSAN A BARCELLOS M.D.
Psychiatry & Neurology (Neurology)
710 N 12TH ST
GUTHRIE CENTER, IA 50115
Guthrie County (641) 332-2201

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 Anuj Wadhwa's NPI number?

The NPI number for Anuj Wadhwa is 1497090419. It was assigned to this individual provider in the NPPES registry on December 2, 2012.

Where is Anuj Wadhwa located?

Anuj Wadhwa practices at 710 N 12th St, Guthrie Center, IA 50115. The listed phone number is (641) 332-2201.

What is Anuj Wadhwa's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Anuj Wadhwa enrolled in Medicare?

Yes. Anuj Wadhwa 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.

Which organizations bill Medicare for Anuj Wadhwa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anuj Wadhwa reassigns Medicare benefits to 3 organizations: Guthrie County Hospital (Guthrie Center, IA), Clarinda Regional Health Center (Clarinda, IA) and Chattanooga Hamilton County Hospital Authority (Pikeville, TN). Each 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 Anuj Wadhwa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anuj Wadhwa accept?

Health plans from Cigna Healthcare, Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Anuj Wadhwa 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 Anuj Wadhwa affiliated with any hospitals?

According to CMS data, Anuj Wadhwa is affiliated with Guthrie County Hospital.

When was this NPI record last updated?

The NPPES record for Anuj Wadhwa was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.