DIANA WAGNER M.D. NPI 1790893022

NPI Information

NPI: 1790893022
Provider Name: DIANA WAGNER, M.D.
Classification: Internal Medicine - 207RE0101X
Specialization: Endocrinology, Diabetes & Metabolism
Entity Type: Individual
PECOS Registration: Yes
Address: 460 HARTFORD TPKE STE A
VERNON, CT
ZIP 06066
Phone: (860) 896-4877

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NPI Details

Diana Wagner, M.D. is an endocrinology and diabetes and metabolism internal medicine in Vernon, CT with 29 years of experience. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. Diana Wagner, M.D. NPI is 1790893022. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

460 HARTFORD TPKE STE A
VERNON, CT
ZIP 06066-847
Phone: (860) 896-4877
Fax: (860) 896-4876

The NPI 1790893022 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.

Injection, denosumab, 1 mg (HCPCS:J0897)
Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report (HCPCS:95251)
Hemoglobin a1c level (HCPCS:83036)
New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
Ultrasound scan of head and neck soft tissue (HCPCS:76536)
Injection of drug or substance under skin or into muscle (HCPCS:96372)

The enumeration date for this NPI number is 8/27/2006 and was last updated on 4/30/2012.

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	207R00000X	Internal Medicine		47653	WISCONSIN	No
2	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	50129	CONNECTICUT	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
1	091172200	MEDICARE ID-TYPE UNSPECIFIED	WISCONSIN
2	34678700	MEDICAID	WISCONSIN
3	I39760	MEDICARE UPIN
4	D400053653	MEDICARE PIN	CONNECTICUT

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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