DR. JOHN JOSEPH II WADDELL (MD) – Internal Medicine Physician, NPI 1629562582
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,303 DIAGNOSTIC RADIOLOGY in TX
Provider Addresses for DR. JOHN JOSEPH II WADDELL (MD)
1110 N Sarah DeWitt Dr
Gonzales, TX 786293311
Phone: (816) 800-9020
Type: Location
1460 G St
Springfield, OR 974774112
Phone: (816) 800-9020
Type: Location
University of Kansas Medical Center, 3901, Rainbow Boulevard, Kansas City, Wyandotte County, Kansas, 66160, United States
KANSAS CITY, KS 661608500
Phone:
Type: Mailing
The University of Kansas Hospital, 4000, Cambridge Street, Kansas City, Wyandotte County, Kansas, 66160, United States
KANSAS CITY, KS 66160
Phone: (916) 588-1227
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: 2025-12-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 8 Medicare enrollment records; no due dates published yet.
Enrollment records
8
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240602000091 | I | Diagnostic Radiology | OR | TBD |
| I20240615000448 | I | Diagnostic Radiology | KS | TBD |
| I20240917004716 | I | Diagnostic Radiology | FL | TBD |
| I20240928000249 | I | Diagnostic Radiology | TX | TBD |
| I20241108002059 | I | Diagnostic Radiology | MO | TBD |
| I20250320004037 | I | Diagnostic Radiology | MT | TBD |
| I20250728000444 | I | Diagnostic Radiology | UT | TBD |
| I20251223002024 | I | Diagnostic Radiology | CO | TBD |
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.
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 78629)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology, Interventional Radiology | ID | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology, Interventional Radiology | OR | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | OR | |
| Interventional Radiology, Diagnostic Radiology | ID | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | NM | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | CT |
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