Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Nicolaus Alexander Wagner-Bartak, MD

Individual provider Diagnostic Radiology Physician · NPI 1225230675

Dr. Nicolaus Alexander Wagner-Bartak, MD is a Diagnostic Radiology in Houston, Texas. Graduated from Perelman School of Med at the University of Pennsylvania in 2004, 22 years ago. Practices with Physicians Referral Service, a 2,727-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
22
Trained at
Perelman School of Med at the University of Pennsylvania
Licensed in
TX
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1400 Cressler St University Of Texas Md Anderson Cancer Ctr
Houston, TX 77030
Phone: (713) 404-6868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence M6943 (TX)

Record details

NPI number1225230675
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 5, 2007
Last updated in NPPESFebruary 8, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolPERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduated 2004 (22 years in practice)
Group practice Physicians Referral Service — 2727 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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