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Andreas Georg Wibmer, M.D.

Radiology, Diagnostic Radiology in New York, NY. Individual provider (NPI-1).

NPI number1750830022
StatusActive
Last updated in NPPESJan 7, 2020

Details

NPI
1750830022
Entity type
Individual (NPI-1)
Name
Andreas Georg Wibmer
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 28, 2016
Certification date
Jan 7, 2020
Last updated
Jan 7, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - DIAGNOSTIC RADIOLOGY
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic Radiology291574NYYes

Practice location

1275 York Ave
New York, NY 10065-6007

Phone 212-639-2000

Mailing address

30 River Rd Apt 15h
New York, NY 10044-1121

Is something wrong?

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