KAMAL C WAGLE (MD) – Geriatric Medicine (Family Medicine) Physician, NPI 1013249838

KAMAL C WAGLE (MD) is a healthcare provider. based in Hackensack, New Jersey. specializing in GERIATRIC MEDICINE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 01075433A (IN). The NPI Number for KAMAL C WAGLE (MD) is 1013249838

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
KAMAL C WAGLE (MD)
NPI
1013249838
Phone
(551) 996-8100
Address
360 ESSEX ST STE 303
Enumeration Date
3 February 2010
Last Update Date
2 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2017102768
Graduation Year
2005 (21 years ago)
PAC ID
1153585260
Group Practice PAC ID
9133032519
Professional Enrollment ID
I20240315003665
Address ID
NJ076010000HA360XXSTXX308
Telehealth
Yes

Contacts

Secure Messaging
KWAGLE@direct.iuhealth.org
Secure Messaging
kwagle@direct.iuhealth.org
Secure Messaging
kwagle14119@direct.eskenazihealth.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience79
Completeness85
Years active:16State licenses:3Other namesUpdated within 12 months

251 GERIATRIC MEDICINE in NJ

Provider Addresses for KAMAL C WAGLE (MD)

  • 360 ESSEX ST STE 303

    HACKENSACK, NJ 076018566

    Phone: (551) 996-8100

    Type: Location

  • North Shadeland Avenue, Castleton, Vertland, Indianapolis, Indiana, 46250, United States

    SUITE 130 - PROVIDER ENROLLMENT

    INDIANAPOLIS, IN 462194959

    Phone:

    Type: Mailing

  • 1633 N CAPITAL AVE

    SUITE 322

    INDIANAPOLIS, IN 462021476

    Phone: (317) 962-2929

    Fax: (317) 962-2070

    Type: Location

  • 3600 ROUTE 66 FL 3

    NEPTUNE, NJ 077532645

    Phone:

    Type: Mailing

  • 250 N SHADELAND AVE STE 200

    INDIANAPOLIS, IN 462194959

    Phone:

    Type: Mailing

  • 720 ESKENAZI AVE

    INDIANAPOLIS, IN 462025187

    Phone: (317) 880-6600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $120.

Total Amount is formed as General ($120) + Research ($0) + Ownership ($0) = $120.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Otsuka Pharmaceutical Development & Commercialization, Inc. ($42).

Total Amount

$120

General + Research + Ownership

Payments

5

Total payment records

General Amount

$120

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

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: 2024-03-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20150612000894IGeriatric MedicineINTBD
I20240315003665IGeriatric MedicineNJTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes244152$0
99214Established patient office or other outpatient visit, 30-39 minutes184136$0
36415Insertion of needle into vein for collection of blood sample12592$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional11362$0
99204New patient office or other outpatient visit, 45-59 minutes7777$0
View full utilization report →

Insurance plans in this area (ZIP 07601)

Loading plans...

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: 9133032519View full group profile
NameSpecialtyState
-NY
-NJ
Nurse PractitionerNJ
Physician AssistantNJ
Vascular SurgeryNY
Physician AssistantNJ
Physician AssistantNY
Orthopedic SurgeryNJ
General SurgeryNJ
Cardiovascular Disease (Cardiology), Internal MedicineNJ

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is there an official ID for KAMAL C WAGLE (MD) in U.S. healthcare records?
The official identifier for KAMAL C WAGLE (MD) is NPI 1013249838.
Is KAMAL C WAGLE (MD) shown as active in public data?
Registry records indicate KAMAL C WAGLE (MD) maintains an active NPI.
What kind of doctor is KAMAL C WAGLE (MD)?
KAMAL C WAGLE (MD) is associated with Geriatric Medicine (Family Medicine) Physician in the directory — Clinical services aligned with this taxonomy classification.
Is KAMAL C WAGLE (MD) associated with Hackensack?
Public fields place KAMAL C WAGLE (MD) around Hackensack, New Jersey. Always confirm the exact site before visiting.
What does 6 location(s) imply?
6 practice locations appear in the available data.

Similar Providers

DR. STEFANOS PANTAGIS (MD)

Geriatric Medicine (Family Medicine) Physician
810, Main Street, Hackensack, Bergen County, New Jersey, 07601, United States
NPI: 1235212879

JOHN M HEATH (MD)

Geriatric Medicine (Family Medicine) Physician
360 ESSEX ST STE 401
NPI: 1487731170

DR. SOO CHONG KIM (MD)

Geriatric Medicine (Family Medicine) Physician
360 ESSEX ST STE 401
NPI: 1528353273

GERIATRICS AND LONGEVITY TREATMENT SPECIALIST, PC

Geriatric Medicine (Family Medicine) Physician
810 MAIN ST
NPI: 1306121504

PALLAVI DODDAKASHI

Geriatric Medicine (Family Medicine) Physician
Fairview Park Drive, Pine Spring, West Falls Church, Fairfax County, Virginia, 22042-7409, United States
NPI: 1780039404

ENNOBLE HC NJ PC

Geriatric Medicine (Family Medicine) Physician
39 V STREET NE
NPI: 1306500764

MR. JORGE AGUSTIN PARDO (APN)

Adult Health Nurse Practitioner
718 Teaneck Rd
NPI: 1871289520

ENNOBLE HC NJ III PC

Geriatric Medicine (Family Medicine) Physician
101 Greenwood Ave Ste 140
NPI: 1043192099