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MATTHEW WAGNER DO
NPI 1851192280
Student in an Organized Health Care Education/Training Program in Corpus Christi, TX

Active since March 21, 2025PECOS Enrolled
7121 S PADRE ISLAND DR STE 108, CORPUS CHRISTI, TX 78412(361) 761-1924 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Matthew Wagner Do NPPES

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

MATTHEW WAGNER DO (NPI 1851192280) is an individual student in an organized health care education/training program in Corpus Christi, Texas and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851192280
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW WAGNERCredential: DO
Location Address7121 S PADRE ISLAND DR STE 108Corpus Christi, TX 78412-4939
Mailing Address7121 S Padre Island Dr Ste 108Corpus Christi, TX 78412-4939 · (361) 761-1924
Phone(361) 761-1924
Sole ProprietorYes
Enumeration DateMarch 21, 2025
NPPES CertifiedMarch 21, 2025
✔ NPI 1851192280 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.
7121 S PADRE ISLAND DR STE 108, Corpus Christi, TX 78412
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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)

Matthew Wagner Do 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 7

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

DR. DAVID PEREZ MD
Student in an Organized Health Care Education/Training Program
7121 S PADRE ISLAND DR STE 108
CORPUS CHRISTI, TX 78412
Nueces County (361) 500-2664
MAAZ ZAFAR AHMED MD
Student in an Organized Health Care Education/Training Program
7121 S PADRE ISLAND DR STE 108
CORPUS CHRISTI, TX 78412
Nueces County (361) 761-1924
DR. KHADIJA HASSAN MD
Student in an Organized Health Care Education/Training Program
7121 S PADRE ISLAND DR STE 108
CORPUS CHRISTI, TX 78412
Nueces County (361) 761-1000
SIDDHARTH REDDY MD
Student in an Organized Health Care Education/Training Program
7121 S PADRE ISLAND DR STE 108
CORPUS CHRISTI, TX 78412
Nueces County (361) 761-1924
MICHAEL J FLANDERS
Student in an Organized Health Care Education/Training Program
7121 S PADRE ISLAND DR STE 108
CORPUS CHRISTI, TX 78412
Nueces County (361) 761-1924
RUQEYYA MAHMOOD
Student in an Organized Health Care Education/Training Program
7121 S PADRE ISLAND DR STE 108
CORPUS CHRISTI, TX 78412
Nueces County (361) 761-1000
DR. KAMSO BRIAN OKONKWO MD
Student in an Organized Health Care Education/Training Program
7121 S PADRE ISLAND DR STE 108
CORPUS CHRISTI, TX 78412
Nueces County (361) 761-1000

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 Matthew Wagner's NPI number?

The NPI number for Matthew Wagner is 1851192280. It was assigned to this individual provider in the NPPES registry on March 21, 2025.

Where is Matthew Wagner located?

Matthew Wagner practices at 7121 S Padre Island Dr Ste 108, Corpus Christi, TX 78412. The listed phone number is (361) 761-1924.

What is Matthew Wagner's specialty?

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

Is Matthew Wagner enrolled in Medicare?

Yes. Matthew Wagner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Wagner was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.