WANDA DEL CARMEN JIRAU-ROSALY (M.D) – Geriatric Medicine (Family Medicine) Physician, NPI 1720242068

WANDA DEL CARMEN JIRAU-ROSALY (M.D) is a healthcare provider. based in Augusta, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials M.D. They hold a License No. 01059043A (IN). The NPI Number for WANDA DEL CARMEN JIRAU-ROSALY (M.D) is 1720242068

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
WANDA DEL CARMEN JIRAU-ROSALY (M.D)
NPI
1720242068
Phone
(706) 724-6100
Address
1499 WALTON WAY STE 1400
Enumeration Date
16 July 2008
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704248222
Graduation Year
2002 (24 years ago)
PAC ID
5193914851
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20110111000517
Address ID
GA301527742KE5150XRDXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:17State licenses:2Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

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Provider Addresses for WANDA DEL CARMEN JIRAU-ROSALY (M.D)

  • 1400, Walton Way, Augusta, Richmond County, Georgia, 30901, United States

    AUGUSTA, GA 309012603

    Phone: (706) 724-6100

    Fax: (706) 721-7016

    Type: Mailing

  • Madigan Army Medical Center, 9040, Jackson Avenue, Tacoma, Pierce County, Washington, 98431, United States

    9040 REID ST.

    TACOMA, WA 984310001

    Phone: (253) 968-2252

    Fax: (253) 968-3278

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $83.

Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Averitas Pharma Inc. ($23).

Total Amount

$83

General + Research + Ownership

Payments

5

Total payment records

General Amount

$83

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-01-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110111000517IFamily PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes219110$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month6112$0
99213Established patient office or other outpatient visit, 20-29 minutes3021$0
View full utilization report →

Insurance plans in this area (ZIP 30901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

How do I look up WANDA DEL CARMEN JIRAU-ROSALY (M.D) by NPI?
Use NPI 1720242068 when you need to reference WANDA DEL CARMEN JIRAU-ROSALY (M.D) in forms, claims, or directories.
Is WANDA DEL CARMEN JIRAU-ROSALY (M.D)'s NPI currently valid?
The extract we use shows WANDA DEL CARMEN JIRAU-ROSALY (M.D) as active.
Does WANDA DEL CARMEN JIRAU-ROSALY (M.D) list a primary specialty?
If you are matching referrals, note Geriatric Medicine (Family Medicine) Physician for WANDA DEL CARMEN JIRAU-ROSALY (M.D). Clinical services aligned with this taxonomy classification.
Does WANDA DEL CARMEN JIRAU-ROSALY (M.D) practice in Georgia?
You will see Augusta, Georgia on file for WANDA DEL CARMEN JIRAU-ROSALY (M.D) alongside any extra practice locations.
Is WANDA DEL CARMEN JIRAU-ROSALY (M.D) a real provider?
This page reflects official NPPES data for NPI 1720242068. Always confirm identity and privileges with the practice and licensing boards.

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