KAMAL C WAGLE MD NPI 1013249838

NPI Information

NPI: 1013249838
Provider Name: KAMAL C WAGLE, MD
Classification: Family Medicine - 207QG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

Organization: THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY

PECOS Registration: Yes

Address:
720 ESKENAZI AVE
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 880-6600
Get Directions

Kamal C Wagle, MD is a geriatric medicine family medicine in Indianapolis, IN with 19 years of experience. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. Kamal C Wagle, MD NPI is 1013249838. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

720 ESKENAZI AVE
INDIANAPOLIS, IN
ZIP 46202-187
Phone: (317) 880-6600

The NPI 1013249838 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/3/2010 and was last updated on 11/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		N9976	TEXAS	No
2	207Q00000X	Family Medicine		01075433A	INDIANA	No
3	207QG0300X	Family Medicine	Geriatric Medicine	N9976	TEXAS	No
4	207QG0300X	Family Medicine	Geriatric Medicine	01075433A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	201291250	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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