ARCHANA WAGLE M D A PROFESSIONAL CORPORATION
NPI 1720303605
Pain Medicine - Interventional Pain Medicine in Moline, IL
About Archana Wagle M D A Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ARCHANA WAGLE M D A PROFESSIONAL CORPORATION (NPI 1720303605) is a healthcare organization registered as an interventional pain medicine in Moline, Illinois and active in the NPI registry since April 2010. The organization lists Archana Wagle, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Archana Wagle M D A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Archana Wagle M D A Professional Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Archana Wagle M D A Professional Corporation's NPI number?
The NPI number for Archana Wagle M D A Professional Corporation is 1720303605. It was assigned to this organization in the NPPES registry on April 2, 2010.
Where is Archana Wagle M D A Professional Corporation located?
Archana Wagle M D A Professional Corporation is located at 500 John Deere Rd, Moline, IL 61265. The listed phone number is (309) 779-5000.
What is Archana Wagle M D A Professional Corporation's specialty?
The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.
Is Archana Wagle M D A Professional Corporation enrolled in Medicare?
Yes. Archana Wagle M D A Professional Corporation is registered in the Medicare PECOS enrollment system.
When is Archana Wagle M D A Professional Corporation's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Archana Wagle M D A Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Anesthesiology) reassigns their Medicare billing to Archana Wagle M D A Professional Corporation. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Archana Wagle M D A Professional Corporation was last updated on July 15, 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.
# Archana Wagle M D A Professional Corporation · NPI 1720303605
Interventional Pain Medicine organization in Moline, Illinois. Organization record, active in the CMS NPPES registry since April 2, 2010.
## Identity
- **NPI:** 1720303605 (Entity type: Organization)
- **Enumerated:** April 2, 2010
- **Primary specialty:** Pain Medicine - Interventional Pain Medicine · taxonomy 208VP0014X
- **Organization subpart:** No
- **Authorized official:** Archana Wagle, OWNER
## Practice location
- **Address:** 500 JOHN DEERE RD, Moline, IL 61265-6892
- **Phone:** (309) 779-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Illinois, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Anesthesiology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 15, 2010
- **Other identifiers:** Medicaid 036100676 (IL); Medicare UPIN G09301
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Source: [NPI Profile](https://npiprofile.com/npi/1720303605) · Data from the CMS NPPES public registry.