Individual provider Active NPI

Wen Liang, M.D.

  • Internal Medicine Physician
  • Henderson, NV
National Provider Identifier
1023092020
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8518 Issued in NV
Practice address
2621 W Horizon Ridge Pkwy
Suite 150
Henderson, NV 89052-2895
Phone
(702) 837-6368
Fax
(702) 837-0685
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8518 NV Primary

Addresses

Primary practice location

2621 W Horizon Ridge Pkwy
Suite 150
Henderson, NV 89052-2895

Mailing address

PO Box 777298
Henderson, NV 89077-7298
Phone (702) 837-6368

Other identifiers 2

IdentifierTypeStateIssuer
002019214MedicaidNV
CC1181OtherNVBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051020000452 NV Practitioner - Internal Medicine 7810913746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2621 W Horizon Ridge Pkwy
Suite 150
Henderson, NV 89052-4809
Phone (702) 837-6368

Hospital & facility affiliations

  • Care First Home Health Care Home health agency, Las Vegas, NV, CCN 297143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sun Medical Service Corp Internal Medicine CurrentSince Feb 24, 1998 Accepting new patients
Yu & I Wellness LLC Past Accepting new patients

Locations

2621 W Horizon Ridge Pkwy
Ste 150
Henderson, NV 89052
Phone (702) 837-6368

2621 W Horizon Ridge Pkwy
Henderson, NV 89052
Phone (702) 340-2566

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDCCAA/Endpoint/HDCCAA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1023092020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 777298",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890777298",
            "telephone_number": "702-837-6368",
            "fax_number": "702-837-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 W HORIZON RIDGE PKWY",
            "address_2": "SUITE 150",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522895",
            "telephone_number": "702-837-6368",
            "fax_number": "702-837-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIANG",
        "first_name": "WEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "8518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019214",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "CC1181",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.