Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ELLEN SWIONTKNOWSKI WAGNER MD
NPI 1871089136
Pediatrics - Pediatric Gastroenterology in Chicago, IL

Q: What is Ellen Wagner's NPI number?

The NPI number for Ellen Wagner is 1871089136. It was assigned to this individual provider in the NPPES registry on July 10, 2018.

Q: What is Ellen Wagner's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Q: When was this NPI record last updated?

The NPPES record for Ellen Wagner was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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 July 10, 2018PECOS Enrolled

225 E CHICAGO AVE, CHICAGO, IL 60611(800) 543-7362 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 3, 2026, Jul 10, 2018 (2 updates tracked since 2018).

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About Dr. Ellen Swiontknowski Wagner Md NPPES

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

DR. ELLEN SWIONTKNOWSKI WAGNER MD (NPI 1871089136) is an individual pediatric gastroenterology provider in Chicago, Illinois, licensed in Illinois (036155898) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2018).

NPPES Registry Identity

NPI1871089136

Entity TypeIndividualFemale

Primary Taxonomy2080P0206X

Provider Legal NameDR. ELLEN SWIONTKNOWSKI WAGNERCredential: MD

Location Address225 E CHICAGO AVEChicago, IL 60611-2991

Mailing Address225 E Chicago AveChicago, IL 60611-2991 · (800) 543-7362

Phone(800) 543-7362

Sole ProprietorNo

Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2018

Enumeration DateJuly 10, 2018

Last NPPES UpdateAugust 3, 20262 updates tracked since enumeration

NPPES CertifiedAugust 3, 2026

✔ NPI 1871089136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0206X

License✔ Licensed in IL · 036155898

Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

225 E CHICAGO AVE, Chicago, IL 60611

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Secondary Practice Location 1

Location 12515 N Clark StChicago, IL 60614-2730 · Phone (800) 543-7362

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ellen Swiontknowski Wagner Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527316900

PECOS Enrollment IDI20260702001355

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

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.

BESSEY ELIZABETH JOSE GEEVARGHESE DO

Pediatrics