ROBERT WAGNER MD NPI 1154308039

NPI Information

  • NPI: 1154308039
  • Provider Name: ROBERT WAGNER, MD
  • Classification: Radiology - 2085N0904X
  • Specialization: Nuclear Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2160 S 1ST AVE
    (MCGAW ENT., RM 47)
    MAYWOOD, IL
    ZIP 60153
  • Phone: (708) 216-5221

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NPI Details

Robert Wagner, MD is a nuclear radiology radiology in Maywood, IL with 42 years of experience. The provider is a radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. Robert Wagner, MD NPI is 1154308039. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduation Year:1984

The provider's business location address is:

2160 S 1ST AVE
(MCGAW ENT., RM 47)
MAYWOOD, IL
ZIP 60153
Phone: (708) 216-5221
Fax: (708) 216-0899

The NPI 1154308039 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Nuclear medicine study of bone and/or joint whole body (HCPCS:78306)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician (HCPCS:93016)
  • Nuclear medicine study of lung circulation (HCPCS:78580)
  • Nuclear medicine study of parathyroid with spect and ct scan (HCPCS:78072)
  • Nuclear medicine study of lymphatic system (HCPCS:78195)
  • Nuclear medicine study of lung ventilation and circulation (HCPCS:78582)
  • Nuclear medicine study, 1 area with spect (HCPCS:78803)
  • Nuclear medicine study of stomach to assess emptying (HCPCS:78264)
  • Nuclear medicine study whole body with ct scan (HCPCS:78816)
  • Radioactive drug therapy through a tube inserted in an artery (HCPCS:79445)
  • Nuclear medicine study of liver and bile duct system (HCPCS:78226)
  • Nuclear medicine study of kidney, blood, flow, and function with drug administration (HCPCS:78708)

The enumeration date for this NPI number is 12/30/2005 and was last updated on 4/23/2021.

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
12085N0904XRadiologyNuclear Radiology36071977ILLINOISYes

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
136071977MEDICAIDILLINOIS

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: 11/21/2025

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