Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elliott Jay Wagner, MD

Individual provider Diagnostic Radiology Physician · NPI 1558312579

Elliott Jay Wagner, MD is a Diagnostic Radiology in Beverly Hills, California. Graduated from New York University School of Medicine in 1978, 48 years ago. Practices with Capital Health Multispecialty Group, a 340-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in California, Illinois, Missouri and New Jersey and 2 more.

Years since qualifying
48
Trained at
New York University School of Medicine
Licensed in
CA, IL, MO, NJ, NM, NY
In the registry since
2006
Specialties on file
6
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

8750 Wilshire Blvd Ste 100
Beverly Hills, CA 90211-2708
Phone: (310) 689-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 6000 Hospital Dr, Hannibal, MO 63401-6887 — (573) 248-5300
  • 1 Capital Way, Pennington, NJ 08534-2520 — (609) 303-4000
  • 750 Brunswick Ave, Trenton, NJ 08638-4143 — (609) 394-6000
  • 200 E 66th St Apt C904, New York, NY 10065-0163 — (949) 378-4889
  • 765 Main Ave, Warwick, RI 02886-3213 — (401) 737-2229

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence G49698 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 25MA08122100 (NJ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2009029480 (MO)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 238657-1 (NY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD2008-0777 (NM)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 036120986 (IL)

Record details

NPI number1558312579
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 15, 2006
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing address200 East 66th St, C904, New York, NY 10065-9175

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated 1978 (48 years in practice)
Group practice Capital Health Multispecialty Group — 340 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations85 on file with Medicare

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