Active NPI
Eileen Wang, MD
- Pain Medicine (Anesthesiology) Physician
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- MD21112
- Practice address
- 690 Eddy St
Providence, RI 02903-4928 - Phone
- (401) 793-9166
- Fax
- (401) 444-2788
- NPI assigned
- Apr 8, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | A172748 | CA | |
| Anesthesiology Physician | 207L00000X | A172748 | CA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MD21112 | RI | Primary |
Addresses
Primary practice location
690 Eddy St
Providence, RI 02903-4928
Mailing address
15 La Salle SQ
Providence, RI 02903-1814
Phone (401) 444-6779
Other practice location 1
11 Friendship St Ste 130
Newport, RI 02840-2209
Phone (401) 845-1190
Other practice location 2
400 W Mineral King Ave
Visalia, CA 93291-6237
Phone (559) 624-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NY, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Rush Medical College of Rush University, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 W Mineral King Ave
Visalia, CA 93291-6237
Phone (559) 624-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A172748 | CA | MD | Anesthesiology Physician |
| MD21112 | RI | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Anesthesiology | Current | Accepting new patients |
| Newport Hospital | Current | Accepting new patients | |
| North American Partners in Anesthesia LLP | Anesthesiology | Current | Accepting new patients |
| Oak Creek Anesthesia Services, Inc. | Anesthesiology | Current | Accepting new patients |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Permanente Medical Group Inc | Anesthesiology | Current | Accepting new patients |
| Regents of the Univ of Ca | Past | Accepting new patients | |
| Newport Hospital | Past | Accepting new patients |
Locations
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
1800 Harrison St
Fl 7
Oakland, CA 94612
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
501 J St
Sacramento, CA 95814
Phone (916) 497-3000
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
250 Hospital Pkwy
San Jose, CA 95119
Phone (408) 972-6320
275 Hospital Pkwy
Ste 470
San Jose, CA 95119
Phone (408) 972-3364
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
7 Southwoods Blvd
Ste 4
Albany, NY 12211
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131
6511 Spring Brook Ave
Rhinebeck, NY 12572
Phone (845) 871-3368
11 Friendship St
Ste 130
Newport, RI 02840
Phone (401) 845-1190
15 La Salle Sq
Providence, RI 02903
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Visalia, CA
- NPI 1619589512
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
Anesthesiology
-
- Obstetrics & Gynecology Physician
- Newport, RI
- NPI 1063632180
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
-
- Emergency Medicine Physician
- Newport, RI
- NPI 1356441562
-
- Pulmonary Disease Physician
- Sacramento, CA
- NPI 1437142692
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kaweah Health Medical Center
- General Acute Care Hospital
- Visalia, CA
- NPI 1588663769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"number": "1033642871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 LA SALLE SQ",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029031814",
"telephone_number": "401-444-6779",
"fax_number": "401-444-6912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 EDDY ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034928",
"telephone_number": "401-793-9166",
"fax_number": "401-444-2788"
}
],
"practiceLocations": [
{
"address_1": "11 Friendship St Ste 130",
"address_purpose": "LOCATION",
"city": "Newport",
"state": "RI",
"postal_code": "028402209",
"country_code": "US",
"telephone_number": "401-845-1190",
"fax_number": "401-845-1073",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 W Mineral King Ave",
"address_purpose": "LOCATION",
"city": "Visalia",
"state": "CA",
"postal_code": "932916237",
"country_code": "US",
"telephone_number": "559-624-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANG",
"first_name": "EILEEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-08",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "A172748",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A172748",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "RI",
"license": "MD21112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.