JASON WADE (M.D.) – Emergency Medicine Physician, NPI 1134501323

JASON WADE (M.D.) is a healthcare provider. based in Coaldale, Pennsylvania. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD491113 (PA). The NPI Number for JASON WADE (M.D.) is 1134501323

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
JASON WADE (M.D.)
NPI
1134501323
Phone
(570) 645-8127
Address
360 W RUDDLE ST
Enumeration Date
24 June 2015
Last Update Date
8 May 2026

Doctor Profile

Medical School Name
WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Secondary Phone
2076645311
Graduation Year
2015 (11 years ago)
PAC ID
7315334141
Group Practice PAC ID
1052657616
Professional Enrollment ID
I20250808002204
Address ID
ME046051534EL50XXXSTXX300
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:10State licenses:1Digital endpointsOther names

3,391 EMERGENCY MEDICINE in PA

Provider Addresses for JASON WADE (M.D.)

  • 360 W RUDDLE ST

    COALDALE, PA 182181027

    Phone: (570) 645-8127

    Type: Mailing

  • 140 HUYSHOPE AVE APT 532

    HARTFORD, CT 061062855

    Phone: (973) 975-5971

    Type: Mailing

  • 80 SEYMOUR ST

    HARTFORD, CT 061028000

    Phone: (860) 545-5000

    Type: Location

  • 1020 Sansom St Ste 1651B

    Philadelphia, PA 191075002

    Phone: (215) 955-9837

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-08-08

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
I20250808002204IEmergency MedicineMETBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 18218)

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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: 1052657616View full group profile
NameSpecialtyState
Emergency MedicineME
Emergency MedicineIL
General SurgeryME
Emergency MedicineSC
Emergency MedicineWV
-NJ
Emergency MedicineMA
Emergency MedicineRI
Emergency MedicineNJ
Emergency MedicineWI

Reviews

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Frequently asked questions

Can I use this page to confirm JASON WADE (M.D.)'s NPI?
Yes. JASON WADE (M.D.) is listed with NPI 1134501323 in the public NPI dataset.
Does the file indicate JASON WADE (M.D.) is practicing under active NPI?
Directory data currently reports JASON WADE (M.D.) as active.
What is JASON WADE (M.D.) best known for clinically?
Directory data describes JASON WADE (M.D.) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is JASON WADE (M.D.) based?
JASON WADE (M.D.) is tied to Coaldale, Pennsylvania in the data we show; additional addresses may exist on the full record.
Is the information about JASON WADE (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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